Active NPIIndividual provider

Mrs. Diane P Wood, LICSW

Social Worker, Clinical in Gloucester, Massachusetts

NPI Number1003399767
Practice location
29A Emerson Ave, Gloucester, MA 01930-2556
Fax
978-283-1588
Last updated
September 10, 2018

Diane Patrice Wood is a Social Worker, Clinical based in Gloucester, MA. Diane Patrice Wood practices in Gloucester, MA and has the professional credentials of LICSW. The NPI Number for Diane Patrice Wood is 1003399767 and holds a License No. 1026429 (MA). The current practice location address for Diane Patrice Wood is 29A Emerson Ave, Gloucester, MA 01930-2556 and can be reached out via phone at 978-675-9501 and via fax at 978-283-1588.

Provider Profile Details

NPI Number
1003399767
Provider Name
Diane Patrice Wood
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
29A Emerson Ave, Gloucester, MA 01930-2556
Phone Number
978-675-9501
Fax Number
978-283-1588
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Diane Preble Wood, LICSW (Professional Name)
Provider Enumeration Date
September 10, 2018
Last Update Date
September 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
29A Emerson Ave
Gloucester, MA 01930-2556
Zip
01930-2556
Phone Number
978-675-9501
Fax Number
978-283-1588
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
29A Emerson Ave
Gloucester, MA 01930-2556
City
Gloucester
State
MA
Zip
01930-2556
Phone Number
978-675-9501
Fax Number
978-283-1588

License Information

License Number
1026429
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Diane P Wood, LICSW?

The NPI number of Mrs. Diane P Wood, LICSW is 1003399767. It was assigned on September 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Mrs. Diane P Wood, LICSW?

Mrs. Diane P Wood, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1026429.

Where does Mrs. Diane P Wood, LICSW practice?

The practice location is 29A Emerson Ave, Gloucester, MA 01930-2556. The office can be reached at 978-675-9501 (phone) or 978-283-1588 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003399767 directly on the NPPES registry website.

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