Provider Demographics
NPI:1508283805
Name:TALBOT, PIER (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:PIER
Middle Name:
Last Name:TALBOT
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 RENWICK RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-1219
Mailing Address - Country:US
Mailing Address - Phone:781-620-0817
Mailing Address - Fax:
Practice Address - Street 1:857 TURNPIKE ST
Practice Address - Street 2:SUITE 136
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6140
Practice Address - Country:US
Practice Address - Phone:978-686-2900
Practice Address - Fax:978-686-2929
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1176531041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist