Provider Demographics
NPI:1821550666
Name:STEFANELLI, ALLIE (MSW, LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:ALLIE
Middle Name:
Last Name:STEFANELLI
Suffix:
Gender:F
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PLEASANT STREET
Mailing Address - Street 2:BUILDING D, 2ND FLOOR
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760
Mailing Address - Country:US
Mailing Address - Phone:443-783-1569
Mailing Address - Fax:
Practice Address - Street 1:8 PLEASANT STREET
Practice Address - Street 2:BUILDING D, 2ND FLOOR
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760
Practice Address - Country:US
Practice Address - Phone:443-783-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040108241041C0700X
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty