Provider Demographics
NPI:1861534554
Name:TEICH, ARLENE GRIFFIN (MSW LICSW)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:GRIFFIN
Last Name:TEICH
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 VOSE LANE
Mailing Address - Street 2:
Mailing Address - City:E WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032
Mailing Address - Country:US
Mailing Address - Phone:508-668-7832
Mailing Address - Fax:
Practice Address - Street 1:70 QUINCY AVE
Practice Address - Street 2:COMMUNITY REHAB CARE
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-786-8811
Practice Address - Fax:617-786-8877
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113478104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker