Provider Demographics
NPI:1720068539
Name:CABRAL, ANALIA M (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ANALIA
Middle Name:M
Last Name:CABRAL
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 1:333 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:508-990-0852
Mailing Address - Fax:508-990-4777
Practice Address - Street 1:333 UNION ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3665
Practice Address - Country:US
Practice Address - Phone:508-990-0852
Practice Address - Fax:508-990-4777
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10218571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7897504OtherAETNA
MA6209389OtherUBH
MA534756OtherMBH
MA2043589OtherCIGNA
MAP07070OtherBCBS
MA6209389OtherUBH