Provider Demographics
NPI:1306030895
Name:FARINA, MARIA DEL MAR (LICSW)
Entity Type:Individual
Prefix:
First Name:MARIA DEL MAR
Middle Name:
Last Name:FARINA
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 1:60 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2040
Mailing Address - Country:US
Mailing Address - Phone:413-335-7650
Mailing Address - Fax:
Practice Address - Street 1:60 WOODSIDE DR
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2040
Practice Address - Country:US
Practice Address - Phone:413-335-7650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1102841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical