Healthcare Provider Details

I. General information

NPI: 1790854008
Provider Name (Legal Business Name): ANN MARIE LAPIERRE CARPENTER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 05/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 EAST ST BRIEN CENTER
PITTSFIELD MA
01201-5369
US

IV. Provider business mailing address

257 BENEDICT RD
PITTSFIELD MA
01201-2806
US

V. Phone/Fax

Practice location:
  • Phone: 413-499-0412
  • Fax: 413-445-6242
Mailing address:
  • Phone: 413-447-9108
  • Fax: 413-445-6242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1015386
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: