Provider Demographics
NPI:1801197587
Name:MCGARRY, MAUREEN NORA (LICSW)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:NORA
Last Name:MCGARRY
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 1:98 QUINAPOXET ST
Mailing Address - Street 2:#3
Mailing Address - City:JEFFERSON
Mailing Address - State:MA
Mailing Address - Zip Code:01522-1471
Mailing Address - Country:US
Mailing Address - Phone:774-364-5661
Mailing Address - Fax:
Practice Address - Street 1:98 QUINAPOXET ST
Practice Address - Street 2:#3
Practice Address - City:JEFFERSON
Practice Address - State:MA
Practice Address - Zip Code:01522-1471
Practice Address - Country:US
Practice Address - Phone:774-364-5661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1112071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical