Facts
- Status
- A
- Credential
- MSW, LICSW
- Type
- Individual
- Enumeration date
- 2007-08-07
- Last updated
- 2026-01-06
Specialties
Licenses
- License MA
- 116861
Location
- Practice location
- 99 CONIFER HILL DR
- City
- DANVERS MA
- Postal code
- 019231193
- Phone
- 978-774-2555
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.