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NPI 1083137210

NPI 1083137210 : MEAGAN CATRICALA LICSW : GROVELAND, MA

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General NPI Number Information
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    NPI Number           |    1083137210
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    Entity Type          |    Individual 
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    Provider Name        |    MEAGAN CATRICALA LICSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2017
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    Last Update Date     |    10/21/2022
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Provider Practice Location Address
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    Address Line         |    33 UPTACK RD 
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    City                 |    GROVELAND
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    State                |    MA
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    Zip                  |    01834-1004
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    Country              |    US
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    Telephone            |    978-216-4019
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    73 TURNPIKE ST # 1076 
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    City                 |    NORTH ANDOVER
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    State                |    MA
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    Zip                  |    01845-5045
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    085186
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    085186
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    119211
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    License Number State |    MA
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