Healthcare Provider Details

I. General information

NPI: 1568041283
Provider Name (Legal Business Name): CHRISTINE M PASCHAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 04/08/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT. OF CHILDREN AND FAMILIES 151 WEST BOYLSTON DR.
WORCESTER MA
01606
US

IV. Provider business mailing address

205 WACHUSETT ST
HOLDEN MA
01520-1854
US

V. Phone/Fax

Practice location:
  • Phone: 508-793-8000
  • Fax:
Mailing address:
  • Phone: 774-270-3497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number113579
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: