Provider Demographics
NPI:1295382026
Name:CEFALO, ARIEL MARTENSEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:ARIEL
Middle Name:MARTENSEN
Last Name:CEFALO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MOUNT VERNON ST APT 21
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-5265
Mailing Address - Country:US
Mailing Address - Phone:781-718-9907
Mailing Address - Fax:
Practice Address - Street 1:12 METHUEN ST STE 3
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1772
Practice Address - Country:US
Practice Address - Phone:978-683-3128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical