Provider Demographics
NPI:1700959491
Name:PIRO, ANTHONY JR (LICSW)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:PIRO
Suffix:JR
Gender:M
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:EMERSON HOSPITAL
Mailing Address - Street 2:133 ORNAC
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-287-3530
Mailing Address - Fax:978-287-3695
Practice Address - Street 1:133 ORNAC
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4159
Practice Address - Country:US
Practice Address - Phone:978-287-3530
Practice Address - Fax:978-287-3695
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10217081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP06405OtherBLUE CROSS
MAP06405Medicare ID - Type Unspecified