Provider Demographics
NPI:1639504681
Name:LENAGHAN, PAIGE BAILEY (LICSW)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:BAILEY
Last Name:LENAGHAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:BAILEY
Other - Last Name:WOODFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 SHADOW LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079
Mailing Address - Country:US
Mailing Address - Phone:207-266-6800
Mailing Address - Fax:617-425-2002
Practice Address - Street 1:26 PARKRIDGE ROAD
Practice Address - Street 2:SUITE 2B
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835
Practice Address - Country:US
Practice Address - Phone:978-380-0147
Practice Address - Fax:617-425-2002
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool