Provider Demographics
NPI:1851448542
Name:MURRAY, NATHANIEL H (MSSW)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:H
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SCHOOL ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2068
Mailing Address - Country:US
Mailing Address - Phone:781-834-0747
Mailing Address - Fax:781-834-0763
Practice Address - Street 1:475 SCHOOL ST
Practice Address - Street 2:SUITE 14
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2068
Practice Address - Country:US
Practice Address - Phone:781-834-0747
Practice Address - Fax:781-834-0763
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1048651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP03076Medicare ID - Type Unspecified
MA104865Medicare UPIN