Provider Demographics
NPI:1508196387
Name:CURTIS, FRAELEAN (LICSW)
Entity Type:Individual
Prefix:
First Name:FRAELEAN
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:AELEAN
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:6 PLEASANT ST
Mailing Address - Street 2:220
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5100
Mailing Address - Country:US
Mailing Address - Phone:781-338-2640
Mailing Address - Fax:781-338-2217
Practice Address - Street 1:6 PLEASANT ST
Practice Address - Street 2:220
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5100
Practice Address - Country:US
Practice Address - Phone:781-338-2640
Practice Address - Fax:781-338-2217
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1043861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical