Provider Demographics
NPI:1508810458
Name:GILBERT, AARON (LICSW)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:GILBERT
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 BEACON ST
Mailing Address - Street 2:#101
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1822
Mailing Address - Country:US
Mailing Address - Phone:857-231-2341
Mailing Address - Fax:
Practice Address - Street 1:1714 BEACON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-2124
Practice Address - Country:US
Practice Address - Phone:857-231-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10328291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA669490OtherTUFTS HEALTH PLAN
MAP07666OtherBLUE CROSS
MA0022121OtherNEIGHBORHOOD HEALTH PLAN
MA669490OtherTUFTS HEALTH PLAN