Provider Demographics
NPI:1841469509
Name:POIRIER, DENISE BERNADETTE (MSW,LCSW)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:BERNADETTE
Last Name:POIRIER
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-3717
Mailing Address - Country:US
Mailing Address - Phone:570-441-8262
Mailing Address - Fax:484-727-9066
Practice Address - Street 1:363 N MARKET ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-3717
Practice Address - Country:US
Practice Address - Phone:570-441-8262
Practice Address - Fax:484-727-9066
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0148281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical