Provider Demographics
NPI:1003822537
Name:CURTISS, RICHARD PHILLIP (MSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:PHILLIP
Last Name:CURTISS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1567
Mailing Address - Country:US
Mailing Address - Phone:508-533-4023
Mailing Address - Fax:508-533-4277
Practice Address - Street 1:169 MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1567
Practice Address - Country:US
Practice Address - Phone:508-533-4023
Practice Address - Fax:508-533-4277
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10258041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical