Provider Demographics
NPI:1013071315
Name:MCGRATH-HOWIE, MARYELLEN (LICSW)
Entity Type:Individual
Prefix:
First Name:MARYELLEN
Middle Name:
Last Name:MCGRATH-HOWIE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:MARYELLEN
Other - Middle Name:
Other - Last Name:MCGRATH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:SOUTH SHORE HEALTH SYSTEM
Mailing Address - Street 2:HOME & COMMUNITY CARE DIVISION 30 RESERVOIR PARK DRIVE
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-1055
Mailing Address - Country:US
Mailing Address - Phone:781-624-7070
Mailing Address - Fax:781-792-4206
Practice Address - Street 1:MCLEAN HOSPITAL SOUTHEAST LOCATION
Practice Address - Street 2:940 BELMONT STREET
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-894-8325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1138311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical