Provider Demographics
NPI:1710235148
Name:EATON, AIMEE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:
Last Name:EATON
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 1:62 DERBY ST STE 6
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3718
Mailing Address - Country:US
Mailing Address - Phone:781-740-9227
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR INTEGRATIVE COUNSELING AND WELLNESS
Practice Address - Street 2:62 DERBY ST SUITE 6
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043
Practice Address - Country:US
Practice Address - Phone:781-740-9227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0001244871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical