Provider Demographics
NPI:1497174346
Name:FISCHER-ENGEL, HOLLY (LICSW)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:FISCHER-ENGEL
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 1:229 UNDERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1660
Mailing Address - Country:US
Mailing Address - Phone:617-512-2270
Mailing Address - Fax:
Practice Address - Street 1:229 UNDERWOOD ST
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1660
Practice Address - Country:US
Practice Address - Phone:617-512-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10318331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical