Active NPIIndividual providerSole proprietor

Mr. Charles W Tirrell Jr., LICSW

Social Worker, Clinical in Marblehead, Massachusetts

NPI Number1851457501
Practice location
118 Pleasant St, Marblehead, MA 01945-2344
Fax
—
Last updated
July 8, 2007

Charles William Tirrell is a Social Worker, Clinical based in Marblehead, MA. Charles William Tirrell practices in Marblehead, MA and has the professional credentials of LICSW. The NPI Number for Charles William Tirrell is 1851457501 and holds a License No. 110072 (MA). The current practice location address for Charles William Tirrell is 118 Pleasant St, Marblehead, MA 01945-2344 and can be reached out via phone at 781-631-3014.

Provider Profile Details

NPI Number
1851457501
Provider Name
Charles William Tirrell
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
118 Pleasant St, Marblehead, MA 01945-2344
Phone Number
781-631-3014
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Pleasant St
Marblehead, MA 01945-2344
Zip
01945-2344
Phone Number
781-631-3014
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
118 Farrell CT
Marblehead, MA 01945-2552
City
Marblehead
State
MA
Zip
01945-2552
Phone Number
781-631-3014

License Information

License Number
110072
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 Mr. Charles W Tirrell Jr., LICSW?

The NPI number of Mr. Charles W Tirrell Jr., LICSW is 1851457501. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Charles W Tirrell Jr., LICSW?

Mr. Charles W Tirrell Jr., LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110072.

Where does Mr. Charles W Tirrell Jr., LICSW practice?

The practice location is 118 Pleasant St, Marblehead, MA 01945-2344. The office can be reached at 781-631-3014 (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 1851457501 directly on the NPPES registry website.

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