Healthcare Provider Details

I. General information

NPI: 1699686329
Provider Name (Legal Business Name): SHAYLA ANTOINETTE PIASECZYNSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TRADECENTER STE 1500
WOBURN MA
01801-7400
US

IV. Provider business mailing address

63 TROWBRIDGE CIR
ROWLEY MA
01969-2103
US

V. Phone/Fax

Practice location:
  • Phone: 781-570-3530
  • Fax:
Mailing address:
  • Phone: 781-570-3530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2143845
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: