Provider Demographics
NPI:1407610264
Name:CULLINANE, ELIZABETH ORLOWSKY (LICSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ORLOWSKY
Last Name:CULLINANE
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 1:5 MCCRAY CIR
Mailing Address - Street 2:
Mailing Address - City:MONSON
Mailing Address - State:MA
Mailing Address - Zip Code:01057-1155
Mailing Address - Country:US
Mailing Address - Phone:413-668-7052
Mailing Address - Fax:
Practice Address - Street 1:5 MCCRAY CIR
Practice Address - Street 2:
Practice Address - City:MONSON
Practice Address - State:MA
Practice Address - Zip Code:01057-1155
Practice Address - Country:US
Practice Address - Phone:413-668-7052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10237881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty