Provider Demographics
NPI:1891193702
Name:PINSKY, GERALD BERNARD (LICSW)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:BERNARD
Last Name:PINSKY
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BYRON ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2347
Mailing Address - Country:US
Mailing Address - Phone:978-844-8444
Mailing Address - Fax:
Practice Address - Street 1:15 BYRON ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2347
Practice Address - Country:US
Practice Address - Phone:978-844-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1180541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical