Healthcare Provider Details

I. General information

NPI: 1639504681
Provider Name (Legal Business Name): PAIGE BAILEY LENAGHAN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. PAIGE BAILEY WOODFIN

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 11/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 PARKRIDGE ROAD SUITE 2B
HAVERHILL MA
01835
US

IV. Provider business mailing address

40 SHADOW LAKE ROAD
SALEM NH
03079
US

V. Phone/Fax

Practice location:
  • Phone: 978-380-0147
  • Fax: 617-425-2002
Mailing address:
  • Phone: 207-266-6800
  • Fax: 617-425-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: