Provider Demographics
NPI:1508067265
Name:PHILBRICK, FLORENCE THERESA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:THERESA
Last Name:PHILBRICK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 KEITH HILL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01560-1204
Mailing Address - Country:US
Mailing Address - Phone:508-839-9038
Mailing Address - Fax:
Practice Address - Street 1:971 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01523-2569
Practice Address - Country:US
Practice Address - Phone:978-365-7376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1104411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical