Healthcare Provider Details

I. General information

NPI: 1851501241
Provider Name (Legal Business Name): ERIN MARIE OBRIEN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 LEE RD
STOCKBRIDGE MA
01262
US

IV. Provider business mailing address

PO BOX 594
LEE MA
01238
US

V. Phone/Fax

Practice location:
  • Phone: 413-298-0194
  • Fax:
Mailing address:
  • Phone: 413-298-0194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: