Provider Demographics
NPI:1659604460
Name:PAYNE, ELIZABETH (LICSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ELIZABET
Other - Middle Name:
Other - Last Name:TOOHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 HAYNES RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-1709
Mailing Address - Country:US
Mailing Address - Phone:617-899-2797
Mailing Address - Fax:
Practice Address - Street 1:5 HAYNES RD
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-1709
Practice Address - Country:US
Practice Address - Phone:617-899-2797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9798681041C0700X
MA1167421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical