Ms. Maryellen F Collamore, LICSW, LCSW, MT-BC
Social Worker, Clinical in South Hamilton, Massachusetts
1124336920- Practice location
- 380 Highland St, South Hamilton, MA 01982-1310
- Phone
- 978-233-1226
- Fax
- —
- Last updated
- May 28, 2021
Maryellen Fairchild Collamore is a Social Worker, Clinical based in South Hamilton, MA. Maryellen Fairchild Collamore practices in South Hamilton, MA and has the professional credentials of LICSW, LCSW, MT-BC. The NPI Number for Maryellen Fairchild Collamore is 1124336920 and holds a License No. 81865 (CA). The current practice location address for Maryellen Fairchild Collamore is 380 Highland St, South Hamilton, MA 01982-1310 and can be reached out via phone at 978-233-1226.
Provider Profile Details
- NPI Number
- 1124336920
- Provider Name
- Maryellen Fairchild Collamore
- Credential
- LICSW, LCSW, MT-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 380 Highland St, South Hamilton, MA 01982-1310
- Phone Number
- 978-233-1226
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Maryellen Fairchild (Former Name)
- Provider Enumeration Date
- September 15, 2010
- Last Update Date
- May 28, 2021
- Certification Date
- May 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 380 Highland St
South Hamilton, MA 01982-1310 - City
- South Hamilton
- State
- Massachusetts
- Zip
- 01982-1310
- Phone Number
- 978-233-1226
Provider Business Mailing Address Details
- Address
- 380 Highland St
South Hamilton, MA 01982-1310 - City
- South Hamilton
- State
- MA
- Zip
- 01982-1310
- Phone Number
- 978-233-1226
License Information
- License Number (1)
- 81865
- License State (1)
- CA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 09139
- License State (2)
- PA
- Taxonomy (2)
- Music Therapist · 225A00000X
- License Number (3)
- 121357
- License State (3)
- MA
- Taxonomy (3)
- 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 South Hamilton, MA
View all Social Worker, Clinical providers in South Hamilton →- Alison E Trimby, LICSWSocial Worker, Clinical · NPI 1104126226
- Caroline S Harris, MSWSocial Worker, Clinical · NPI 1275273963
- Centered Perspectives Therapy PLLCSocial Worker, Clinical · NPI 1154026094
- Eric Eid-Reiner, MSW, LICSWSocial Worker, Clinical · NPI 1265802003
- Jessica FullerSocial Worker, Clinical · NPI 1942659297
- Jessica Fuller Licsw LLCSocial Worker, Clinical · NPI 1104757913
Frequently Asked Questions
What is the NPI number of Ms. Maryellen F Collamore, LICSW, LCSW, MT-BC?
The NPI number of Ms. Maryellen F Collamore, LICSW, LCSW, MT-BC is 1124336920. It was assigned on September 15, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Maryellen F Collamore, LICSW, LCSW, MT-BC?
Ms. Maryellen F Collamore, LICSW, LCSW, MT-BC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CA under license number 81865.
Where does Ms. Maryellen F Collamore, LICSW, LCSW, MT-BC practice?
The practice location is 380 Highland St, South Hamilton, MA 01982-1310. The office can be reached at 978-233-1226 (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 1124336920 directly on the NPPES registry website.