Healthcare Provider Details

I. General information

NPI: 1831301035
Provider Name (Legal Business Name): MARSHA CLEVELAND HOOD RN, CS; MSW ,LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 04/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 BAY STATE RD
REHOBOTH MA
02769
US

IV. Provider business mailing address

116 BAY STATE RD
REHOBOTH MA
02769
US

V. Phone/Fax

Practice location:
  • Phone: 508-252-3165
  • Fax: 508-252-3165
Mailing address:
  • Phone: 508-252-3165
  • Fax: 508-252-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number107027
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW00791
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRNPC 129197
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN20690
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: