Provider Demographics
NPI:1609839190
Name:PISHEV, ALIKI (LICSW)
Entity Type:Individual
Prefix:
First Name:ALIKI
Middle Name:
Last Name:PISHEV
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 1:55 MERIAM ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3638
Mailing Address - Country:US
Mailing Address - Phone:781-367-3504
Mailing Address - Fax:309-404-7052
Practice Address - Street 1:114 WALTHAM ST
Practice Address - Street 2:SUITE 22
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5415
Practice Address - Country:US
Practice Address - Phone:781-841-6869
Practice Address - Fax:309-404-7052
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10197801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical