Provider Demographics
NPI:1841265246
Name:WEISMAN, NED ANDREW (LICSW)
Entity type:Individual
Prefix:MR
First Name:NED
Middle Name:ANDREW
Last Name:WEISMAN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:75 HUNTING RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2111
Mailing Address - Country:US
Mailing Address - Phone:781-444-6628
Mailing Address - Fax:978-977-2542
Practice Address - Street 1:70 WASHINGTON STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3510
Practice Address - Country:US
Practice Address - Phone:978-745-3130
Practice Address - Fax:978-977-2542
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1044301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA008954OtherHARVARD PILGRIM
MA87726OtherUNITED BEHAVIORAL HEALTH
MA86114OtherCIGNA BEHAVIORAL HEALTH
MA731634OtherTUFTS HMO
MA731634OtherTUFTS HMO