Ms. Mary Ellen Coughlin, LICSW
Social Worker, Clinical in Winchester, Massachusetts
1063600856- Practice location
- 805 Main St, Winchester, MA 01890-1907
- Phone
- 781-215-1655
- Fax
- 781-643-0111
- Last updated
- October 5, 2007
Mary Ellen Coughlin is a Social Worker, Clinical based in Winchester, MA. Mary Ellen Coughlin practices in Winchester, MA and has the professional credentials of LICSW. The NPI Number for Mary Ellen Coughlin is 1063600856 and holds a License No. 111217 (MA). The current practice location address for Mary Ellen Coughlin is 805 Main St, Winchester, MA 01890-1907 and can be reached out via phone at 781-215-1655 and via fax at 781-643-0111.
Provider Profile Details
- NPI Number
- 1063600856
- Provider Name
- Mary Ellen Coughlin
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 805 Main St, Winchester, MA 01890-1907
- Phone Number
- 781-215-1655
- Fax Number
- 781-643-0111
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 5, 2007
- Last Update Date
- October 5, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 805 Main St
Winchester, MA 01890-1907 - City
- Winchester
- State
- Massachusetts
- Zip
- 01890-1907
- Phone Number
- 781-215-1655
- Fax Number
- 781-643-0111
Provider Business Mailing Address Details
- Address
- 43 Fairmont St
Arlington, MA 02474-8717 - City
- Arlington
- State
- MA
- Zip
- 02474-8717
- Phone Number
- 781-643-0012
- Fax Number
- 781-643-0111
License Information
- License Number
- 111217
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Winchester, MA
View all Social Worker, Clinical providers in Winchester →- Anna Wolfe, LCSWSocial Worker, Clinical · NPI 1427724251
- Barry J Kahn, MSWSocial Worker, Clinical · NPI 1346393469
- Brenda MandileSocial Worker, Clinical · NPI 1386117521
- Bridge To Healing Psychotherapy LLCSocial Worker, Clinical · NPI 1003300385
- Eileen Bradley, LICSWSocial Worker, Clinical · NPI 1295294817
- Erin K FicocielloSocial Worker, Clinical · NPI 1447734637
Frequently Asked Questions
What is the NPI number of Ms. Mary Ellen Coughlin, LICSW?
The NPI number of Ms. Mary Ellen Coughlin, LICSW is 1063600856. It was assigned on October 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Mary Ellen Coughlin, LICSW?
Ms. Mary Ellen Coughlin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111217.
Where does Ms. Mary Ellen Coughlin, LICSW practice?
The practice location is 805 Main St, Winchester, MA 01890-1907. The office can be reached at 781-215-1655 (phone) or 781-643-0111 (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 1063600856 directly on the NPPES registry website.