Ms. Mary K Averill, LICSW
Social Worker, Clinical in Montague, Massachusetts
1710292156- Practice location
- 6 School St, Montague, MA 01351-8918
- Phone
- 413-695-8633
- Fax
- —
- Last updated
- June 26, 2013
Mary K Averill is a Social Worker, Clinical based in Montague, MA. Mary K Averill practices in Montague, MA and has the professional credentials of LICSW. The NPI Number for Mary K Averill is 1710292156 and holds a License No. 117445 (MA). The current practice location address for Mary K Averill is 6 School St, Montague, MA 01351-8918 and can be reached out via phone at 413-695-8633.
Provider Profile Details
- NPI Number
- 1710292156
- Provider Name
- Mary K Averill
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 School St, Montague, MA 01351-8918
- Phone Number
- 413-695-8633
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 10, 2010
- Last Update Date
- June 26, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 School St
Montague, MA 01351-8918 - City
- Montague
- State
- Massachusetts
- Zip
- 01351-8918
- Phone Number
- 413-695-8633
Provider Business Mailing Address Details
- Address
- Po Box 159
6 School St
Montague, MA 01351-0159 - City
- Montague
- State
- MA
- Zip
- 01351-0159
- Phone Number
- 413-695-8633
License Information
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 117445
- License State (2)
- MA
- Taxonomy (2)
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Mary K Averill, LICSW?
The NPI number of Ms. Mary K Averill, LICSW is 1710292156. It was assigned on August 10, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Mary K Averill, LICSW?
Ms. Mary K Averill, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117445.
Where does Ms. Mary K Averill, LICSW practice?
The practice location is 6 School St, Montague, MA 01351-8918. The office can be reached at 413-695-8633 (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 1710292156 directly on the NPPES registry website.