Provider Demographics
NPI:1326435595
Name:CALKIN, NANCY SUE
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:SUE
Last Name:CALKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:SUE CALKIN
Other - Last Name:SZCZESNIAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:599 CANAL ST
Mailing Address - Street 2:SUITE 1E LA
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1244
Mailing Address - Country:US
Mailing Address - Phone:978-686-8202
Mailing Address - Fax:978-686-1281
Practice Address - Street 1:599 CANAL ST
Practice Address - Street 2:SUITE 1E LA
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1244
Practice Address - Country:US
Practice Address - Phone:978-686-8202
Practice Address - Fax:978-686-1281
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10238461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical