Provider Demographics
NPI:1841852605
Name:BARTOSIK, ALICIA (LMHC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:BARTOSIK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 JEWETT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2548
Mailing Address - Country:US
Mailing Address - Phone:857-209-0210
Mailing Address - Fax:
Practice Address - Street 1:491 MASSACHUSETTS AVE STE 208
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-5114
Practice Address - Country:US
Practice Address - Phone:857-209-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12904-MH-CC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health