Healthcare Provider Details

I. General information

NPI: 1972812899
Provider Name (Legal Business Name): LYZA GRACE CHIN MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ARROWHEAD RD
TOPSFIELD MA
01983-1323
US

IV. Provider business mailing address

6 ARROWHEAD RD
TOPSFIELD MA
01983-1323
US

V. Phone/Fax

Practice location:
  • Phone: 978-406-5003
  • Fax: 978-219-0118
Mailing address:
  • Phone: 978-406-5003
  • Fax: 978-219-0118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number121598
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: