Provider Demographics
NPI:1326311440
Name:JAMES, KADIAN A (LICSW)
Entity Type:Individual
Prefix:
First Name:KADIAN
Middle Name:A
Last Name:JAMES
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 1:10 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5414
Mailing Address - Country:US
Mailing Address - Phone:774-270-3733
Mailing Address - Fax:
Practice Address - Street 1:10 MAZZEO DR STE 216
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-3433
Practice Address - Country:US
Practice Address - Phone:774-270-3733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical