Provider Demographics
NPI:1740094473
Name:MICHAUD, SYLVIA CLAIRE (LCSW)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:CLAIRE
Last Name:MICHAUD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:CLAIRE
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:24 BROCK ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2668
Mailing Address - Country:US
Mailing Address - Phone:603-856-1600
Mailing Address - Fax:
Practice Address - Street 1:105 CHAUNCY ST STE 302
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1771
Practice Address - Country:US
Practice Address - Phone:617-833-1956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2287661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical