Healthcare Provider Details

I. General information

NPI: 1760711303
Provider Name (Legal Business Name): BATRIAH JOSEPH MSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2009
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3263
BEVERLY MA
01915-0895
US

IV. Provider business mailing address

PO BOX 3263
BEVERLY MA
01915-0895
US

V. Phone/Fax

Practice location:
  • Phone: 617-479-4545
  • Fax: 617-687-6414
Mailing address:
  • Phone: 617-479-4545
  • Fax: 617-687-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: