Provider Demographics
NPI:1780398420
Name:GAYNOR-SEEPERSAD, DIONNE P (MSW)
Entity type:Individual
Prefix:MS
First Name:DIONNE
Middle Name:P
Last Name:GAYNOR-SEEPERSAD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 DRUMMER RD APT 5
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-5234
Mailing Address - Country:US
Mailing Address - Phone:617-935-9699
Mailing Address - Fax:
Practice Address - Street 1:222 FORBES RD STE 207
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-2720
Practice Address - Country:US
Practice Address - Phone:781-990-5310
Practice Address - Fax:339-686-3099
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2289251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical