Provider Demographics
NPI:1528548013
Name:CONE, VIVIAN (MSSS)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:CONE
Suffix:
Gender:F
Credentials:MSSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SALT WALL LN
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2639
Mailing Address - Country:US
Mailing Address - Phone:978-314-6264
Mailing Address - Fax:
Practice Address - Street 1:10 SALT WALL LN
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2639
Practice Address - Country:US
Practice Address - Phone:978-314-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1016801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical