Provider Demographics
NPI:1184036063
Name:CUFFY, CARMELA (MS,MSW)
Entity Type:Individual
Prefix:MS
First Name:CARMELA
Middle Name:
Last Name:CUFFY
Suffix:
Gender:F
Credentials:MS,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02121-1325
Mailing Address - Country:US
Mailing Address - Phone:617-989-0292
Mailing Address - Fax:617-989-0276
Practice Address - Street 1:434 WARREN STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02121-4302
Practice Address - Country:US
Practice Address - Phone:617-989-0292
Practice Address - Fax:617-989-0276
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor