Provider Demographics
NPI:1568809218
Name:L PIERCE INC
Entity Type:Organization
Organization Name:L PIERCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-945-5190
Mailing Address - Street 1:3 CONCORD AVE
Mailing Address - Street 2:SUITE 42
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3627
Mailing Address - Country:US
Mailing Address - Phone:617-945-5190
Mailing Address - Fax:617-945-7191
Practice Address - Street 1:3 CONCORD AVE
Practice Address - Street 2:SUITE 43
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-3627
Practice Address - Country:US
Practice Address - Phone:617-945-5190
Practice Address - Fax:617-945-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1154661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty