Provider Demographics
NPI:1407887300
Name:TOSI, ELISSA RIGGIO (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ELISSA
Middle Name:RIGGIO
Last Name:TOSI
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 1:50 JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-2452
Mailing Address - Country:US
Mailing Address - Phone:781-724-9039
Mailing Address - Fax:781-639-1660
Practice Address - Street 1:30 FEDERAL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3869
Practice Address - Country:US
Practice Address - Phone:781-724-9039
Practice Address - Fax:781-639-1660
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10209191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical