Provider Demographics
NPI:1558653170
Name:FAUCHER, CATHERANE LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERANE
Middle Name:LYNN
Last Name:FAUCHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CATHERANE
Other - Middle Name:LYNN
Other - Last Name:HEDDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:44A COLSON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-1435
Mailing Address - Country:US
Mailing Address - Phone:480-296-4881
Mailing Address - Fax:
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:STE. 303, STETSON BLD.
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1868
Practice Address - Country:US
Practice Address - Phone:781-331-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-15
Last Update Date:2011-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2159871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical