Provider Demographics
NPI:1184650764
Name:RABINOVICH, MARGALIT (MSW)
Entity type:Individual
Prefix:MS
First Name:MARGALIT
Middle Name:
Last Name:RABINOVICH
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 1:55 PARKTON RD
Mailing Address - Street 2:APP. #2
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-1717
Mailing Address - Country:US
Mailing Address - Phone:617-524-4039
Mailing Address - Fax:617-522-0607
Practice Address - Street 1:53 LANGLEY RD
Practice Address - Street 2:SUITE 340
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-1913
Practice Address - Country:US
Practice Address - Phone:617-332-6010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1072181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA759588OtherTUFTS HEALTH PLAN
MA7783489OtherAETNA
MAP05152Medicare ID - Type Unspecified