Provider Demographics
NPI:1811003817
Name:MARINO, PAULETTE AMELIA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:AMELIA
Last Name:MARINO
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 1:2 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2908
Mailing Address - Country:US
Mailing Address - Phone:781-264-7509
Mailing Address - Fax:
Practice Address - Street 1:266 TILDEN RD
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-2714
Practice Address - Country:US
Practice Address - Phone:781-545-8790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1153981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical