Provider Demographics
NPI:1225749344
Name:CABRERA, FLORENNY (LCSW)
Entity Type:Individual
Prefix:
First Name:FLORENNY
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PARKMAN ST.
Mailing Address - Street 2:WACC037
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:617-724-2476
Mailing Address - Fax:617-724-1800
Practice Address - Street 1:15 PARKMAN ST.
Practice Address - Street 2:WACC037
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-2476
Practice Address - Fax:617-724-1800
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2265361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical