Provider Demographics
NPI:1396226239
Name:CAHILL, EILEEN ANN (LICSW)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:ANN
Last Name:CAHILL
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 1:1100 SALEM ST APT 64
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1583
Mailing Address - Country:US
Mailing Address - Phone:781-290-7577
Mailing Address - Fax:
Practice Address - Street 1:1100 SALEM ST APT 64
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-1583
Practice Address - Country:US
Practice Address - Phone:781-290-7577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10246271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical