Provider Demographics
NPI:1982856639
Name:PERMATTEO, DENISE C (LICSW)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:C
Last Name:PERMATTEO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:C
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:48 STUART CT
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-6744
Mailing Address - Country:US
Mailing Address - Phone:617-733-8302
Mailing Address - Fax:
Practice Address - Street 1:48 STUART CT
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-6744
Practice Address - Country:US
Practice Address - Phone:617-733-8302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1161851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical