Provider Demographics
NPI:1245481878
Name:CORMIER, NANCY (LICSW)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:CORMIER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:MCSHERRY
Other - Last Name:CORMIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:25R MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938
Mailing Address - Country:US
Mailing Address - Phone:978-356-1776
Mailing Address - Fax:978-356-2822
Practice Address - Street 1:25R MARKET STREET
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938
Practice Address - Country:US
Practice Address - Phone:978-356-1776
Practice Address - Fax:978-356-2822
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical