Provider Demographics
NPI:1033737242
Name:PARILLA, MALEY MULLIN (LCSW)
Entity type:Individual
Prefix:
First Name:MALEY
Middle Name:MULLIN
Last Name:PARILLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MALEY
Other - Middle Name:ALICE
Other - Last Name:MULLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2 BOWDOIN ST APT 404
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-2455
Mailing Address - Country:US
Mailing Address - Phone:508-517-5980
Mailing Address - Fax:
Practice Address - Street 1:1841 TRAPELO RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-7322
Practice Address - Country:US
Practice Address - Phone:781-259-8342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2241501041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool