Provider Demographics
NPI:1134292097
Name:PIZZUTO, MARC ANDRE (LICSW)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:ANDRE
Last Name:PIZZUTO
Suffix:
Gender:M
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:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-0010
Mailing Address - Country:US
Mailing Address - Phone:781-658-9727
Mailing Address - Fax:
Practice Address - Street 1:11 HILLSHIRE LN
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3008
Practice Address - Country:US
Practice Address - Phone:781-658-9727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10187651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical