Provider Demographics
NPI:1629318076
Name:GAIPO, KATHRYN H (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:H
Last Name:GAIPO
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 1:11 BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:MA
Mailing Address - Zip Code:01522-1519
Mailing Address - Country:US
Mailing Address - Phone:774-230-7104
Mailing Address - Fax:
Practice Address - Street 1:11 BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:MA
Practice Address - Zip Code:01522-1519
Practice Address - Country:US
Practice Address - Phone:774-230-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical