Provider Demographics
NPI:1639235005
Name:LECHOWSKI, GARRETT (LICSW, CADAC, LADC I)
Entity Type:Individual
Prefix:MR
First Name:GARRETT
Middle Name:
Last Name:LECHOWSKI
Suffix:
Gender:M
Credentials:LICSW, CADAC, LADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-4107
Mailing Address - Country:US
Mailing Address - Phone:413-664-4026
Mailing Address - Fax:
Practice Address - Street 1:10 MEADOW ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2843
Practice Address - Country:US
Practice Address - Phone:413-652-1554
Practice Address - Fax:413-458-4213
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1121911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALEP23700Medicare UPIN