Provider Demographics
NPI:1336960251
Name:JOUJOUTE, NETANYA (LCSW)
Entity type:Individual
Prefix:
First Name:NETANYA
Middle Name:
Last Name:JOUJOUTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 SPRINGVALE AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-5425
Mailing Address - Country:US
Mailing Address - Phone:857-266-3706
Mailing Address - Fax:
Practice Address - Street 1:40 EASTERN AVE STE 203
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5030
Practice Address - Country:US
Practice Address - Phone:617-329-1253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2309191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical