Healthcare Provider Details

I. General information

NPI: 1922295591
Provider Name (Legal Business Name): NANCY ELLEN CURRIE MSW; LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 WICKABOAG VALLEY RD
WEST BROOKFIELD MA
01585-2849
US

IV. Provider business mailing address

97 WICKABOAG VALLEY RD
WEST BROOKFIELD MA
01585-2849
US

V. Phone/Fax

Practice location:
  • Phone: 508-769-5252
  • Fax: 508-867-8191
Mailing address:
  • Phone: 508-867-8191
  • Fax: 508-867-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1023525
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: