Provider Demographics
NPI:1811471154
Name:CAHILLANE, BRIAN P (MS, JD, LICSW)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:P
Last Name:CAHILLANE
Suffix:
Gender:M
Credentials:MS, JD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 ABBEY ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2601
Mailing Address - Country:US
Mailing Address - Phone:413-575-9954
Mailing Address - Fax:413-437-7974
Practice Address - Street 1:577 WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01086-1630
Practice Address - Country:US
Practice Address - Phone:413-572-5790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-22
Last Update Date:2018-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1195021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical