Provider Demographics
NPI:1669944039
Name:CARPINETO, JANE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:
Last Name:CARPINETO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-1737
Mailing Address - Country:US
Mailing Address - Phone:617-764-2975
Mailing Address - Fax:617-764-2975
Practice Address - Street 1:67 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-1737
Practice Address - Country:US
Practice Address - Phone:617-764-2975
Practice Address - Fax:617-764-2975
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1035761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical