Provider Demographics
NPI:1366500233
Name:CALMUS, DORENE (LICSW)
Entity Type:Individual
Prefix:
First Name:DORENE
Middle Name:
Last Name:CALMUS
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 1:20 MAYHEW STREET EXT
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-2436
Mailing Address - Country:US
Mailing Address - Phone:508-872-6409
Mailing Address - Fax:
Practice Address - Street 1:20 MAYHEW STREET EXT
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2436
Practice Address - Country:US
Practice Address - Phone:508-872-6409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10188051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical