Provider Demographics
NPI:1942360466
Name:TRIEFF, SHEILA J (MSW)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:J
Last Name:TRIEFF
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 MERRIMAC LANDING
Mailing Address - Street 2:SUITE 11
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-462-4502
Mailing Address - Fax:978-463-0009
Practice Address - Street 1:1 MERRIMAC LANDING
Practice Address - Street 2:SUITE 11
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950
Practice Address - Country:US
Practice Address - Phone:978-462-4502
Practice Address - Fax:978-463-0009
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1002441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP02037Medicare ID - Type Unspecified