Active NPIIndividual provider

Charlene Byrnes-Clockedile, LICSW

Social Worker, Clinical in Southbridge, Massachusetts

NPI Number1720231855
Practice location
29 Pine St, Southbridge, MA 01550-1823
Fax
508-764-2462
Last updated
August 14, 2024

Charlene Byrnes-Clockedile is a Social Worker, Clinical based in Southbridge, MA. Charlene Byrnes-Clockedile practices in Southbridge, MA and has the professional credentials of LICSW. The NPI Number for Charlene Byrnes-Clockedile is 1720231855 and holds a License No. 1020286 (MA). The current practice location address for Charlene Byrnes-Clockedile is 29 Pine St, Southbridge, MA 01550-1823 and can be reached out via phone at 508-765-9167 and via fax at 508-764-2462.

Provider Profile Details

NPI Number
1720231855
Provider Name
Charlene Byrnes-Clockedile
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
29 Pine St, Southbridge, MA 01550-1823
Phone Number
508-765-9167
Fax Number
508-764-2462
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 3, 2008
Last Update Date
August 14, 2024
Certification Date
August 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
Zip
01550-1823
Phone Number
508-765-9167
Fax Number
508-764-2462
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
City
Southbridge
State
MA
Zip
01550-1823
Phone Number
508-765-9167
Fax Number
508-764-2462

License Information

License Number (1)
1020286
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
LICSW1020286
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Southbridge, MA

View all Social Worker, Clinical providers in Southbridge →

Frequently Asked Questions

What is the NPI number of Charlene Byrnes-Clockedile, LICSW?

The NPI number of Charlene Byrnes-Clockedile, LICSW is 1720231855. It was assigned on November 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Charlene Byrnes-Clockedile, LICSW?

Charlene Byrnes-Clockedile, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1020286.

Where does Charlene Byrnes-Clockedile, LICSW practice?

The practice location is 29 Pine St, Southbridge, MA 01550-1823. The office can be reached at 508-765-9167 (phone) or 508-764-2462 (fax).

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 1720231855 directly on the NPPES registry website.

Browse related providers