Provider Demographics
NPI:1619450319
Name:CHUTE, GEORGIA (LICSW)
Entity Type:Individual
Prefix:
First Name:GEORGIA
Middle Name:
Last Name:CHUTE
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 1:64 SPRINGVALE RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3363
Mailing Address - Country:US
Mailing Address - Phone:781-632-8188
Mailing Address - Fax:
Practice Address - Street 1:64 SPRINGVALE RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3363
Practice Address - Country:US
Practice Address - Phone:781-632-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1032769101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1032769OtherSOCIAL WORK