Healthcare Provider Details

I. General information

NPI: 1700959491
Provider Name (Legal Business Name): ANTHONY PIRO JR. LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 GREAT RD
ACTON MA
01720-5777
US

IV. Provider business mailing address

179 GREAT RD
ACTON MA
01720-5777
US

V. Phone/Fax

Practice location:
  • Phone: 617-970-4033
  • Fax:
Mailing address:
  • Phone: 617-970-4033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1021708
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: