Provider Demographics
NPI:1346399136
Name:MURAD, JUDITH TOWVIM (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:TOWVIM
Last Name:MURAD
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 KENRICK TER
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2419
Mailing Address - Country:US
Mailing Address - Phone:617-964-6276
Mailing Address - Fax:617-969-4767
Practice Address - Street 1:20 KENRICK TER
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2419
Practice Address - Country:US
Practice Address - Phone:617-964-6276
Practice Address - Fax:617-969-4767
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1001961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical