Provider Demographics
NPI:1336283480
Name:ATKINS, MAY H (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MAY
Middle Name:H
Last Name:ATKINS
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 1:165 FAYERWEATHER STREET #1
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-0000
Mailing Address - Country:US
Mailing Address - Phone:615-579-3890
Mailing Address - Fax:615-269-7322
Practice Address - Street 1:165 FAYERWEATHER STREET #1
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-0000
Practice Address - Country:US
Practice Address - Phone:615-579-3890
Practice Address - Fax:615-269-7322
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000003086101YM0800X
MA119037261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health