Deirdre K Samuelsson, LICSW
Social Worker, Clinical in Marblehead, Massachusetts
1821476938- Practice location
- 66 Clifton Ave, Marblehead, MA 01945-1737
- Phone
- 781-631-8273
- Fax
- —
- Last updated
- June 14, 2021
Deirdre Kennedy Samuelsson is a Social Worker, Clinical based in Marblehead, MA. Deirdre Kennedy Samuelsson practices in Marblehead, MA and has the professional credentials of LICSW. The NPI Number for Deirdre Kennedy Samuelsson is 1821476938 and holds a License No. LICSW111460 (MA). The current practice location address for Deirdre Kennedy Samuelsson is 66 Clifton Ave, Marblehead, MA 01945-1737 and can be reached out via phone at 781-631-8273.
Provider Profile Details
- NPI Number
- 1821476938
- Provider Name
- Deirdre Kennedy Samuelsson
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 Clifton Ave, Marblehead, MA 01945-1737
- Phone Number
- 781-631-8273
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 8, 2015
- Last Update Date
- June 14, 2021
- Certification Date
- June 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Clifton Ave
Marblehead, MA 01945-1737 - City
- Marblehead
- State
- Massachusetts
- Zip
- 01945-1737
- Phone Number
- 781-631-8273
Provider Business Mailing Address Details
- Address
- 66 Clifton Ave
Marblehead, MA 01945-1737 - City
- Marblehead
- State
- MA
- Zip
- 01945-1737
- Phone Number
- 781-631-8273
License Information
- License Number
- LICSW111460
- License State
- MA
- Taxonomy
- 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 Marblehead, MA
View all Social Worker, Clinical providers in Marblehead →- Alison L CareySocial Worker, Clinical · NPI 1215681606
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- Ann J SmithSocial Worker, Clinical · NPI 1457835720
- Approach Therapy And Wellness, LLCSocial Worker, Clinical · NPI 1184493652
- Carol R Johnson, LICSWSocial Worker, Clinical · NPI 1326522947
- Dr. Sandra Yudilevich Espinoza, PHDSocial Worker, Clinical · NPI 1952821092
Frequently Asked Questions
What is the NPI number of Deirdre K Samuelsson, LICSW?
The NPI number of Deirdre K Samuelsson, LICSW is 1821476938. It was assigned on May 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Deirdre K Samuelsson, LICSW?
Deirdre K Samuelsson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW111460.
Where does Deirdre K Samuelsson, LICSW practice?
The practice location is 66 Clifton Ave, Marblehead, MA 01945-1737. The office can be reached at 781-631-8273 (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 1821476938 directly on the NPPES registry website.