Annie Elizabeth Athyal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024539 Issued in MA

Practice address

214 Commercial St
Malden, MA 02148-6716

Phone

(781) 321-0645

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Annie Elizabeth Athyal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1316154347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 JOHNSON RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902208",
            "telephone_number": "781-321-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COMMERCIAL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486716",
            "telephone_number": "781-321-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHYAL",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "2024539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "ATHYAL",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Malden, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.