Provider Demographics
NPI:1073059614
Name:WELSH, MARIA FELICIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:FELICIA
Last Name:WELSH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:FELICIA
Other - Last Name:DEMALIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10 DOGWOOD ROAD SOUTH
Mailing Address - Street 2:
Mailing Address - City:HUBBARDSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01452
Mailing Address - Country:US
Mailing Address - Phone:978-895-6383
Mailing Address - Fax:
Practice Address - Street 1:16 INDIAN TRAIL
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359
Practice Address - Country:US
Practice Address - Phone:978-710-9322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
MALICSW-1250721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist