Provider Demographics
NPI:1255573945
Name:PARAD, DIANA DELANOY (MSW)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:DELANOY
Last Name:PARAD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:155 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-1862
Mailing Address - Country:US
Mailing Address - Phone:617-637-2060
Mailing Address - Fax:857-203-9203
Practice Address - Street 1:53 LANGLEY RD
Practice Address - Street 2:SUITE 230
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-1913
Practice Address - Country:US
Practice Address - Phone:617-637-2060
Practice Address - Fax:857-203-9203
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1056241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA105624OtherCOMMONWEALTH OF MASSACHUSETTS