Healthcare Provider Details

I. General information

NPI: 1124264569
Provider Name (Legal Business Name): MARIA A. PAOLONE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N MAIN ST
LEEDS MA
01053-9764
US

IV. Provider business mailing address

11 YOUNG AVE
EAST LONGMEADOW MA
01028-2028
US

V. Phone/Fax

Practice location:
  • Phone: 413-316-3933
  • Fax:
Mailing address:
  • Phone: 413-530-6089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number215017
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115759
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: