Provider Demographics
NPI:1003255118
Name:CAFARELLI, MAUREEN D (LMSW)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:D
Last Name:CAFARELLI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17007 11TH PL W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3342
Mailing Address - Country:US
Mailing Address - Phone:269-720-6947
Mailing Address - Fax:
Practice Address - Street 1:17007 11TH PL W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3342
Practice Address - Country:US
Practice Address - Phone:269-720-6947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801090812104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker