Healthcare Provider Details

I. General information

NPI: 1760325203
Provider Name (Legal Business Name): CATHERINE RILEY MASLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EXECUTIVE PARK DR SUITE 200
NEWTON LOWER FALLS MA
02462
US

IV. Provider business mailing address

2 EXECUTIVE PARK DR. STE 200
NEWTON LOWER FALLS MA
02462
US

V. Phone/Fax

Practice location:
  • Phone: 617-313-7267
  • Fax:
Mailing address:
  • Phone: 970-331-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2142791
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: