Provider Demographics
NPI:1588098867
Name:CURTIS, ELIZA LATHROP (MSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:ELIZA
Middle Name:LATHROP
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-4950
Mailing Address - Country:US
Mailing Address - Phone:609-213-9071
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-525-7405
Practice Address - Fax:617-582-6088
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker