Provider Demographics
NPI:1093299240
Name:RIZZO DEPAOLI, MARIA D (LICSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:RIZZO DEPAOLI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 RANDALL AVE
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2021
Mailing Address - Country:US
Mailing Address - Phone:781-985-1562
Mailing Address - Fax:
Practice Address - Street 1:40 RANDALL AVE
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-2021
Practice Address - Country:US
Practice Address - Phone:781-985-1562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-23
Last Update Date:2018-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116704-SW-LICSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical