Provider Demographics
NPI:1982018099
Name:D'ASCENZO, KATHERINE (MSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:D'ASCENZO
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 1:221 E MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2825
Mailing Address - Country:US
Mailing Address - Phone:508-908-0080
Mailing Address - Fax:
Practice Address - Street 1:221 E MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2825
Practice Address - Country:US
Practice Address - Phone:508-908-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker