Provider Demographics
NPI:1972667582
Name:SICURELLO, SHIRLEY SICURELLO IRENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY SICURELLO
Middle Name:IRENE
Last Name:SICURELLO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 GRANDVIEW ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1027
Mailing Address - Country:US
Mailing Address - Phone:413-519-9411
Mailing Address - Fax:
Practice Address - Street 1:78 POMEROY TER
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3378
Practice Address - Country:US
Practice Address - Phone:413-584-1310
Practice Address - Fax:414-586-1490
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202768104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker