Provider Demographics
NPI:1013803717
Name:NATARAJAN, ABHILASHA SUZANNE ELIZABETH (LICSW)
Entity type:Individual
Prefix:
First Name:ABHILASHA
Middle Name:SUZANNE ELIZABETH
Last Name:NATARAJAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ABHILASHA
Other - Middle Name:
Other - Last Name:NATARAJAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:771 BOYLSTON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1493
Mailing Address - Country:US
Mailing Address - Phone:209-740-7799
Mailing Address - Fax:
Practice Address - Street 1:185 PILGRIM RD
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5324
Practice Address - Country:US
Practice Address - Phone:617-632-8351
Practice Address - Fax:617-303-8132
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2293191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical