Provider Demographics
NPI:1578790523
Name:CARRINGTON, SCUNE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:SCUNE
Middle Name:
Last Name:CARRINGTON
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 1:51 PLEASANT ST # 82
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4904
Mailing Address - Country:US
Mailing Address - Phone:781-350-8553
Mailing Address - Fax:617-812-1692
Practice Address - Street 1:113 BELMONT ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-3603
Practice Address - Country:US
Practice Address - Phone:781-350-8553
Practice Address - Fax:617-812-1692
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1231401041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110166297Medicaid
MAM18684OtherBLUE CROSS
MA2220002001OtherBLUE CROSS
MA1306421Medicaid
MA1308785Medicaid