Healthcare Provider Details

I. General information

NPI: 1366920001
Provider Name (Legal Business Name): LAURA MCGRAIL LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2018
Last Update Date: 08/05/2020
Certification Date: 08/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 LORING DR
FRAMINGHAM MA
01702-8785
US

IV. Provider business mailing address

12 CROSS ST APT 6
WESTBOROUGH MA
01581-2047
US

V. Phone/Fax

Practice location:
  • Phone: 508-532-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: