Provider Demographics
NPI:1770706913
Name:FIERRO-KILFOYLE, ISABEL (LSW)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:FIERRO-KILFOYLE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 E NEWTON ST
Mailing Address - Street 2:M802
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2340
Mailing Address - Country:US
Mailing Address - Phone:617-638-6840
Mailing Address - Fax:617-638-6845
Practice Address - Street 1:88 E NEWTON ST
Practice Address - Street 2:DEPARTMENT OF SOCIAL WORK
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2308
Practice Address - Country:US
Practice Address - Phone:617-638-6840
Practice Address - Fax:617-638-6845
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA301211104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker