Provider Demographics
NPI:1992828032
Name:HYNES, ANGELINE C (MSW)
Entity Type:Individual
Prefix:MS
First Name:ANGELINE
Middle Name:C
Last Name:HYNES
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 1:77 RUMFORD AVE
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3872
Mailing Address - Country:US
Mailing Address - Phone:781-894-4307
Mailing Address - Fax:781-894-1195
Practice Address - Street 1:77 RUMFORD AVE
Practice Address - Street 2:CHILDREN'S CHARTER
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-3872
Practice Address - Country:US
Practice Address - Phone:781-894-4307
Practice Address - Fax:781-894-1195
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1135071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical