Provider Demographics
NPI:1881043073
Name:PINTO, EMILY M (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:M
Last Name:PINTO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:99 CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852
Mailing Address - Country:US
Mailing Address - Phone:978-458-6282
Mailing Address - Fax:978-441-9826
Practice Address - Street 1:99 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852
Practice Address - Country:US
Practice Address - Phone:978-458-6282
Practice Address - Fax:978-441-9826
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110027968AMedicaid