Provider Demographics
NPI:1548770605
Name:CURRY, SHEILA MAUREEN (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:MAUREEN
Last Name:CURRY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:SHIELA
Other - Middle Name:MAUREEN
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:37 FRIEND STREET
Mailing Address - Street 2:ELEMENT CARE INC.
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902
Mailing Address - Country:US
Mailing Address - Phone:781-715-6608
Mailing Address - Fax:781-715-6699
Practice Address - Street 1:20 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901
Practice Address - Country:US
Practice Address - Phone:781-715-2390
Practice Address - Fax:781-268-5070
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1183141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA118314OtherSTATE LICENSE#