Active NPIIndividual providerSole proprietor

Mrs. Elaine N Patsourakos, LICSW

Social Worker, Clinical in Billerica, Massachusetts

NPI Number1063089472
Practice location
28 Fredrickson RD, Billerica, MA 01821-5312
Fax
—
Last updated
June 6, 2021

Elaine N. Patsourakos is a Social Worker, Clinical based in Billerica, MA. Elaine N. Patsourakos practices in Billerica, MA and has the professional credentials of LICSW. The NPI Number for Elaine N. Patsourakos is 1063089472 and holds a License No. 104335 (MA). The current practice location address for Elaine N. Patsourakos is 28 Fredrickson RD, Billerica, MA 01821-5312 and can be reached out via phone at 978-430-9527.

Provider Profile Details

NPI Number
1063089472
Provider Name
Elaine N. Patsourakos
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
28 Fredrickson RD, Billerica, MA 01821-5312
Phone Number
978-430-9527
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2021
Last Update Date
June 6, 2021
Certification Date
June 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Fredrickson RD
Billerica, MA 01821-5312
Zip
01821-5312
Phone Number
978-430-9527
Billerica, MA 01821Get directions →

Provider Business Mailing Address Details

Address
28 Fredrickson RD
Billerica, MA 01821-5312
City
Billerica
State
MA
Zip
01821-5312
Phone Number
978-430-9527

License Information

License Number
104335
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. Elaine N Patsourakos, LICSW?

The NPI number of Mrs. Elaine N Patsourakos, LICSW is 1063089472. It was assigned on June 6, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elaine N Patsourakos, LICSW?

Mrs. Elaine N Patsourakos, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 104335.

Where does Mrs. Elaine N Patsourakos, LICSW practice?

The practice location is 28 Fredrickson RD, Billerica, MA 01821-5312. The office can be reached at 978-430-9527 (phone).

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 1063089472 directly on the NPPES registry website.

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