Provider Demographics
NPI:1871503896
Name:IRWIN-PIETROWICZ, MELANIE A (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:A
Last Name:IRWIN-PIETROWICZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1119
Mailing Address - Country:US
Mailing Address - Phone:508-792-5309
Mailing Address - Fax:
Practice Address - Street 1:1 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1119
Practice Address - Country:US
Practice Address - Phone:508-792-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1109371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical