Healthcare Provider Details

I. General information

NPI: 1013834332
Provider Name (Legal Business Name): DONNA M MERRILL LICSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155B GROVE ST
CHICOPEE MA
01020-1817
US

IV. Provider business mailing address

155B GROVE ST
CHICOPEE MA
01020-1817
US

V. Phone/Fax

Practice location:
  • Phone: 413-484-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: DONNA MERRILL
Title or Position: LICSW
Credential:
Phone: 413-484-6700