Provider Demographics
NPI:1477093003
Name:FEIN, NICOLE SINOPOLI (LICSW)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:SINOPOLI
Last Name:FEIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:SINOPOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1347 MASSACHUSETTES AVE
Mailing Address - Street 2:#93
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02475
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:226 MASSACHUSETTES AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474
Practice Address - Country:US
Practice Address - Phone:617-903-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1189781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical