Provider Demographics
NPI:1003891284
Name:KANEKO, SYLVIA Y (MSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:Y
Last Name:KANEKO
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 CENTRE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2454
Mailing Address - Country:US
Mailing Address - Phone:617-527-5252
Mailing Address - Fax:617-558-7685
Practice Address - Street 1:1400 CENTRE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-2454
Practice Address - Country:US
Practice Address - Phone:617-527-5252
Practice Address - Fax:617-558-7685
Is Sole Proprietor?:No
Enumeration Date:2005-12-11
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1017531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical