Active NPIIndividual provider

Laurie D Tillberry, LICSW

Social Worker, Clinical in East Longmeadow, Massachusetts

NPI Number1083997316
Practice location
45 Crane Ave, Suite 2, East Longmeadow, MA 01028-2331
Fax
—
Last updated
September 22, 2011

Laurie Delia Tillberry is a Social Worker, Clinical based in East Longmeadow, MA. Laurie Delia Tillberry practices in East Longmeadow, MA and has the professional credentials of LICSW. The NPI Number for Laurie Delia Tillberry is 1083997316 and holds a License No. 116577 (MA). The current practice location address for Laurie Delia Tillberry is 45 Crane Ave, Suite 2, East Longmeadow, MA 01028-2331 and can be reached out via phone at 413-525-8400.

Provider Profile Details

NPI Number
1083997316
Provider Name
Laurie Delia Tillberry
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
45 Crane Ave, Suite 2, East Longmeadow, MA 01028-2331
Phone Number
413-525-8400
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2011
Last Update Date
September 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Crane Ave
Suite 2
East Longmeadow, MA 01028-2331
Zip
01028-2331
Phone Number
413-525-8400
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
2 Northwood Dr
Wilbraham, MA 01095-1922
City
Wilbraham
State
MA
Zip
01095-1922

License Information

License Number
116577
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 Laurie D Tillberry, LICSW?

The NPI number of Laurie D Tillberry, LICSW is 1083997316. It was assigned on September 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Laurie D Tillberry, LICSW?

Laurie D Tillberry, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116577.

Where does Laurie D Tillberry, LICSW practice?

The practice location is 45 Crane Ave, Suite 2, East Longmeadow, MA 01028-2331. The office can be reached at 413-525-8400 (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 1083997316 directly on the NPPES registry website.

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