Provider Demographics
NPI:1972724268
Name:JAFFEE-ANECHIARICO, ASHLEY (LICSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:JAFFEE-ANECHIARICO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:J
Other - Last Name:ANECHIARICO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14 FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-3006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14 FORDHAM RD
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-3006
Practice Address - Country:US
Practice Address - Phone:617-646-0784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker