Healthcare Provider Details

I. General information

NPI: 1487913141
Provider Name (Legal Business Name): MRS. MAUREEN PATRICIA DOWNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2012
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 PORTSIDE DR
POCASSET MA
02559-1909
US

IV. Provider business mailing address

16 MADISON DR
EAST SANDWICH MA
02537-1353
US

V. Phone/Fax

Practice location:
  • Phone: 508-454-4876
  • Fax: 508-433-1871
Mailing address:
  • Phone: 508-454-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: