Active NPIIndividual provider

Colleen E Clougherty, LCSW

Social Worker in Malden, Massachusetts

NPI Number1639424724
Practice location
43 Dartmouth St, Malden, MA 02148-5103
Fax
—
Last updated
June 23, 2020

Colleen E Clougherty is a Social Worker based in Malden, MA. Colleen E Clougherty practices in Malden, MA and has the professional credentials of LCSW. The NPI Number for Colleen E Clougherty is 1639424724 and holds a License No. 221971 (MA). The current practice location address for Colleen E Clougherty is 43 Dartmouth St, Malden, MA 02148-5103 and can be reached out via phone at 781-306-4821.

Provider Profile Details

NPI Number
1639424724
Provider Name
Colleen E Clougherty
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
43 Dartmouth St, Malden, MA 02148-5103
Phone Number
781-306-4821
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2012
Last Update Date
June 23, 2020
Certification Date
June 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Dartmouth St
Malden, MA 02148-5103
City
Malden
Zip
02148-5103
Phone Number
781-306-4821
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
43 Dartmouth St
Malden, MA 02148-5103
City
Malden
State
MA
Zip
02148-5103
Phone Number
781-306-4821

License Information

Taxonomy (1)
Developmental Therapist · 222Q00000X
License Number (2)
221971
License State (2)
MA
Taxonomy (2)
Social Worker · 104100000X · 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 Colleen E Clougherty, LCSW?

The NPI number of Colleen E Clougherty, LCSW is 1639424724. It was assigned on July 16, 2012 and is currently active in the NPPES registry.

What is the specialty of Colleen E Clougherty, LCSW?

Colleen E Clougherty, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 221971.

Where does Colleen E Clougherty, LCSW practice?

The practice location is 43 Dartmouth St, Malden, MA 02148-5103. The office can be reached at 781-306-4821 (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 1639424724 directly on the NPPES registry website.

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