Healthcare Provider Details

I. General information

NPI: 1851169197
Provider Name (Legal Business Name): STEPHANIE PACINELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ATWOOD DR
NORTHAMPTON MA
01060-4266
US

IV. Provider business mailing address

8 ATWOOD DR
NORTHAMPTON MA
01060-4266
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: