Provider Demographics
NPI:1831191774
Name:MURPHEY, LAURIE M (LICSW)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:M
Last Name:MURPHEY
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 1:6 HILLTOP CIR
Mailing Address - Street 2:
Mailing Address - City:WEST NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01985-1815
Mailing Address - Country:US
Mailing Address - Phone:978-463-7600
Mailing Address - Fax:978-948-3948
Practice Address - Street 1:55 PLEASANT ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2628
Practice Address - Country:US
Practice Address - Phone:978-463-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1055321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P03116Medicare ID - Type Unspecified