Healthcare Provider Details

I. General information

NPI: 1952136558
Provider Name (Legal Business Name): PAIGE GELEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 OSBORN ST
FALL RIVER MA
02724-2814
US

IV. Provider business mailing address

803 TARKILN HILL RD
NEW BEDFORD MA
02745-4930
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-5708
  • Fax:
Mailing address:
  • Phone: 774-644-4797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2142816
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: