Provider Demographics
NPI:1225511512
Name:HANDLERS-LURIE, NINA (LICSW)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:HANDLERS-LURIE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HILLTOP AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7136
Mailing Address - Country:US
Mailing Address - Phone:781-862-7067
Mailing Address - Fax:
Practice Address - Street 1:300 COMMERCIAL ST STE 19
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-7311
Practice Address - Country:US
Practice Address - Phone:781-388-7705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10307601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical