Healthcare Provider Details

I. General information

NPI: 1528256021
Provider Name (Legal Business Name): CAREY A YEATON MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 ROCKLAND ST SUITE 7
HANOVER MA
02339-2226
US

IV. Provider business mailing address

24 ROCKLAND ST SUITE 7
HANOVER MA
02339-2226
US

V. Phone/Fax

Practice location:
  • Phone: 781-826-8228
  • Fax:
Mailing address:
  • Phone: 781-826-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number213598
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: