Provider Demographics
NPI:1316277288
Name:ANGOFF CHEDD, NAOMI (LMHC)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:
Last Name:ANGOFF CHEDD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:NAOMI
Other - Middle Name:B
Other - Last Name:ANGOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:172 NAPLES RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5750
Mailing Address - Country:US
Mailing Address - Phone:617-480-8502
Mailing Address - Fax:
Practice Address - Street 1:21 WORTHEN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-4835
Practice Address - Country:US
Practice Address - Phone:617-480-8502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health