Provider Demographics
NPI:1851795843
Name:GROMAN, HADLEY MEENAN (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:HADLEY
Middle Name:MEENAN
Last Name:GROMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:HADLEY
Other - Middle Name:POLK
Other - Last Name:MEENAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:49 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2435
Mailing Address - Country:US
Mailing Address - Phone:781-335-6000
Mailing Address - Fax:781-340-5358
Practice Address - Street 1:49 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2435
Practice Address - Country:US
Practice Address - Phone:781-335-6000
Practice Address - Fax:781-340-5358
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2192551041C0700X
MA1199411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical