Provider Demographics
NPI:1205919552
Name:HOROWITZ, ARNOLD ZANE (LICSW)
Entity type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:ZANE
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WESTGATE RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-8836
Mailing Address - Country:US
Mailing Address - Phone:508-872-2421
Mailing Address - Fax:
Practice Address - Street 1:169 ELM ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-5356
Practice Address - Country:US
Practice Address - Phone:781-894-8440
Practice Address - Fax:781-894-1202
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1031121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1004745OtherNHP
MA1303287Medicaid
MAM18633OtherBCBS
MANP01332OtherBOSTON MED
MA703136OtherTUFTS
MAP10329OtherBCBS
MA99618201OtherNETWORK HEALTH
MA1303287OtherMBHP
MANP01332OtherBOSTON MED
MA703136OtherTUFTS