Provider Demographics
NPI:1215240825
Name:ALIBERTI, KATIE AMANDA (MSW)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:AMANDA
Last Name:ALIBERTI
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 1:134 GARDEN ST
Mailing Address - Street 2:APT 1
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-6724
Mailing Address - Country:US
Mailing Address - Phone:610-220-7697
Mailing Address - Fax:
Practice Address - Street 1:134 GARDEN ST
Practice Address - Street 2:APT 1
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-6724
Practice Address - Country:US
Practice Address - Phone:610-220-7697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-24
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
VA09040087791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker