Provider Demographics
NPI:1558849109
Name:MADORE, BARBARA (LICSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MADORE
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 1:40 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2372
Mailing Address - Country:US
Mailing Address - Phone:508-697-3802
Mailing Address - Fax:888-491-4318
Practice Address - Street 1:40 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2372
Practice Address - Country:US
Practice Address - Phone:508-697-3802
Practice Address - Fax:888-491-4318
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-04
Last Update Date:2018-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1048911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical