Provider Demographics
NPI:1285861914
Name:HOWARD, NEAL ANTHONY (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:ANTHONY
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:MR
Other - First Name:NEAL
Other - Middle Name:ANTHONY
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:3 PARKER ST
Mailing Address - Street 2:APARTMENT # 3
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-7814
Mailing Address - Country:US
Mailing Address - Phone:978-606-9429
Mailing Address - Fax:
Practice Address - Street 1:1130 MASSACHUSETTS AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5258
Practice Address - Country:US
Practice Address - Phone:978-606-9429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-20
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1115051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical