Active NPIIndividual providerSole proprietor

Elizabeth Maciolek, LICSW

Social Worker, Clinical in Southborough, Massachusetts

NPI Number1073659645
Practice location
5 Banfill Ln, Southborough, MA 01772-1719
Fax
—
Last updated
February 10, 2009

Elizabeth Maciolek is a Social Worker, Clinical based in Southborough, MA. Elizabeth Maciolek practices in Southborough, MA and has the professional credentials of LICSW. The NPI Number for Elizabeth Maciolek is 1073659645 and holds a License No. 1018316 (MA). The current practice location address for Elizabeth Maciolek is 5 Banfill Ln, Southborough, MA 01772-1719 and can be reached out via phone at 508-485-2393.

Provider Profile Details

NPI Number
1073659645
Provider Name
Elizabeth Maciolek
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
5 Banfill Ln, Southborough, MA 01772-1719
Phone Number
508-485-2393
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
February 10, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Banfill Ln
Southborough, MA 01772-1719
Zip
01772-1719
Phone Number
508-485-2393
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
42 Powers Dr
Centerville, MA 02632-3341
City
Centerville
State
MA
Zip
02632-3341
Phone Number
508-428-5167

License Information

License Number
1018316
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 Elizabeth Maciolek, LICSW?

The NPI number of Elizabeth Maciolek, LICSW is 1073659645. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Maciolek, LICSW?

Elizabeth Maciolek, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1018316.

Where does Elizabeth Maciolek, LICSW practice?

The practice location is 5 Banfill Ln, Southborough, MA 01772-1719. The office can be reached at 508-485-2393 (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 1073659645 directly on the NPPES registry website.

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