Provider Demographics
NPI:1639675267
Name:NGAI, VIRGINIA HANN (LICSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:HANN
Last Name:NGAI
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 1:90 CUSHING AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2028
Mailing Address - Country:US
Mailing Address - Phone:617-436-8600
Mailing Address - Fax:
Practice Address - Street 1:90 CUSHING AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-2028
Practice Address - Country:US
Practice Address - Phone:617-436-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical