Provider Demographics
NPI:1437384625
Name:TASSINARI, JOYCE MARIE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MARIE
Last Name:TASSINARI
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 1:18 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3410
Mailing Address - Country:US
Mailing Address - Phone:781-620-2620
Mailing Address - Fax:781-620-2657
Practice Address - Street 1:18 SHARON RD
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3410
Practice Address - Country:US
Practice Address - Phone:781-620-2620
Practice Address - Fax:781-620-2657
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10258001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical