Healthcare Provider Details

I. General information

NPI: 1679503031
Provider Name (Legal Business Name): PATRICIA SHEEHAN BUTTERFIELD LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. PATRICIA MAUREEN SHEEHAN

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COUNSELING ASSOCIATES OF DRACUT AND METHUEN BROADWAY RD. RTE 113
DRACUT MA
01826
US

IV. Provider business mailing address

104 FREEMAN STREET EXT
HAVERHILL MA
01832-4618
US

V. Phone/Fax

Practice location:
  • Phone: 978-934-9444
  • Fax: 978-441-0800
Mailing address:
  • Phone: 978-373-6923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111813
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: