Active NPIIndividual provider

Mia Cloonan, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1972087138
Practice location
1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810
Fax
—
Last updated
September 23, 2018

Mia Cloonan is a Social Worker, Clinical based in Andover, MA. Mia Cloonan practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Mia Cloonan is 1972087138 and holds a License No. 117729 (MA). The current practice location address for Mia Cloonan is 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 and can be reached out via phone at 978-317-8794.

Provider Profile Details

NPI Number
1972087138
Provider Name
Mia Cloonan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810
Phone Number
978-317-8794
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2018
Last Update Date
September 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Punchard Avenue
Apt. 3 Rear
Andover, MA 01810
Zip
01810
Phone Number
978-317-8794
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
1 Punchard Avenue
Apt. 3 Rear
Andover, MA 01810
City
Andover
State
MA
Zip
01810
Phone Number
978-317-8794

License Information

License Number
117729
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 Mia Cloonan, LICSW?

The NPI number of Mia Cloonan, LICSW is 1972087138. It was assigned on September 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Mia Cloonan, LICSW?

Mia Cloonan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117729.

Where does Mia Cloonan, LICSW practice?

The practice location is 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810. The office can be reached at 978-317-8794 (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 1972087138 directly on the NPPES registry website.

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