Individual provider · Type 1 NPI

Elena Lisitskaya, BA, MSW STUDENT

Student in an Organized Health Care Education/Training Program · Jamaica Plain, MA

NPI number 1922828524 Active

Practice location

1125 Centre St
Jamaica Plain, MA 02130-3495

Call (617) 524-3116 Map

Mailing address

101 Winter St
Belmont, MA 02478-1116

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922828524

Elena Lisitskaya, BA, MSW STUDENT's National Provider Identifier is 1922828524, issued on Oct 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica Plain, MA. The record was last updated on Oct 16, 2024.