Provider Demographics
NPI:1790994747
Name:CORRIGAN, MAUREEN HANDLIN (MSW,LICSW)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:HANDLIN
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:MSW,LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1201
Mailing Address - Street 2:
Mailing Address - City:EAST DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02641
Mailing Address - Country:US
Mailing Address - Phone:508-237-3602
Mailing Address - Fax:508-362-1511
Practice Address - Street 1:230 ROUTE 149
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648
Practice Address - Country:US
Practice Address - Phone:508-362-1511
Practice Address - Fax:508-362-1511
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1064631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP05883Medicare ID - Type Unspecified