Provider Demographics
NPI:1093901746
Name:STREIT, CARA GORHAM (LCSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:GORHAM
Last Name:STREIT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:A
Other - Last Name:GORHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:52 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2440
Mailing Address - Country:US
Mailing Address - Phone:617-275-6482
Mailing Address - Fax:
Practice Address - Street 1:110 HARTWELL AVE STE 330
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-3118
Practice Address - Country:US
Practice Address - Phone:781-551-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2163471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical