Provider Demographics
NPI:1609355460
Name:LOBO, MAEVE SHARMILA
Entity Type:Individual
Prefix:
First Name:MAEVE
Middle Name:SHARMILA
Last Name:LOBO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 OLD QUARRY DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:MA
Mailing Address - Zip Code:01741-1438
Mailing Address - Country:US
Mailing Address - Phone:978-256-5953
Mailing Address - Fax:
Practice Address - Street 1:49 OLD QUARRY DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:MA
Practice Address - Zip Code:01741-1438
Practice Address - Country:US
Practice Address - Phone:978-256-5953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-12
Last Update Date:2018-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical