Provider Demographics
NPI:1275615726
Name:MURPHY, MAUREEN ELLEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELLEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SHIRLEY TER
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3807
Mailing Address - Country:US
Mailing Address - Phone:585-227-1209
Mailing Address - Fax:
Practice Address - Street 1:57 MONROE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1307
Practice Address - Country:US
Practice Address - Phone:585-586-3530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO23208-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical