Active NPIIndividual providerSole proprietor

Ms. Simone Tetrault, LICSW

Social Worker, Clinical in Holliston, Massachusetts

NPI Number1790839207
Practice location
448 Marshall St, Holliston, MA 01746-1440
Fax
—
Last updated
September 6, 2018

Simone Tetrault is a Social Worker, Clinical based in Holliston, MA. Simone Tetrault practices in Holliston, MA and has the professional credentials of LICSW. The NPI Number for Simone Tetrault is 1790839207 and holds a License No. 111545 (MA). The current practice location address for Simone Tetrault is 448 Marshall St, Holliston, MA 01746-1440 and can be reached out via phone at 617-610-0137.

Provider Profile Details

NPI Number
1790839207
Provider Name
Simone Tetrault
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
448 Marshall St, Holliston, MA 01746-1440
Phone Number
617-610-0137
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 22, 2007
Last Update Date
September 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
448 Marshall St
Holliston, MA 01746-1440
Zip
01746-1440
Phone Number
617-610-0137
Holliston, MA 01746Get directions →

Provider Business Mailing Address Details

Address
448 Marshall St
Holliston, MA 01746-1440
City
Holliston
State
MA
Zip
01746-1440
Phone Number
617-610-0137

License Information

License Number
111545
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 Ms. Simone Tetrault, LICSW?

The NPI number of Ms. Simone Tetrault, LICSW is 1790839207. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Simone Tetrault, LICSW?

Ms. Simone Tetrault, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111545.

Where does Ms. Simone Tetrault, LICSW practice?

The practice location is 448 Marshall St, Holliston, MA 01746-1440. The office can be reached at 617-610-0137 (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 1790839207 directly on the NPPES registry website.

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