Provider Demographics
NPI:1669871349
Name:PARIS, VERONICA (LICSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:PARIS
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 1:430 FRANKLIN VILLAGE DR UNIT 315
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-4007
Mailing Address - Country:US
Mailing Address - Phone:508-964-3320
Mailing Address - Fax:
Practice Address - Street 1:38 PARK ST
Practice Address - Street 2:
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-2518
Practice Address - Country:US
Practice Address - Phone:508-964-3320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2023-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2162861041C0700X
MA4500021041S0200X
MA1223681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool