Healthcare Provider Details

I. General information

NPI: 1891719969
Provider Name (Legal Business Name): JOANNE S. GEORGE L.I.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 S. MAIN ST.
SHARON MA
02067-0336
US

IV. Provider business mailing address

60 MAPLE ST APT A
CANTON MA
02021-2975
US

V. Phone/Fax

Practice location:
  • Phone: 781-784-1700
  • Fax: 781-784-4602
Mailing address:
  • Phone: 781-821-9343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102890
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: