Provider Demographics
NPI:1831282011
Name:CAIN, THERESA ANN (MSW)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:CAIN
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 1:23 POOLE RD
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9777
Mailing Address - Country:US
Mailing Address - Phone:413-813-7021
Mailing Address - Fax:413-213-0026
Practice Address - Street 1:1789 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-1920
Practice Address - Country:US
Practice Address - Phone:413-813-7021
Practice Address - Fax:413-213-0026
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1113171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical