Provider Demographics
NPI:1699176362
Name:PETERS-KURTZ, ANDEE ADIA (LICSW)
Entity type:Individual
Prefix:MS
First Name:ANDEE
Middle Name:ADIA
Last Name:PETERS-KURTZ
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 1:729 BRIDGE STREET
Mailing Address - Street 2:SUITE 1 #1064
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02191
Mailing Address - Country:US
Mailing Address - Phone:617-302-8491
Mailing Address - Fax:774-568-1078
Practice Address - Street 1:729 BRIDGE STREET
Practice Address - Street 2:SUITE 1 #1064
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02191
Practice Address - Country:US
Practice Address - Phone:617-302-8491
Practice Address - Fax:774-568-1078
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1186451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical