Provider Demographics
NPI:1912211103
Name:YASIGIAN, KATIE L (MSW)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:L
Last Name:YASIGIAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-1902
Mailing Address - Country:US
Mailing Address - Phone:802-233-8144
Mailing Address - Fax:
Practice Address - Street 1:10 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-1902
Practice Address - Country:US
Practice Address - Phone:802-233-8144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical