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NPI Code Detail

MEDICARE: DEIRDRE SHEA MORRISSEY LCSW

MEDICARE: DEIRDRE SHEA MORRISSEY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker2023508MA

General Provider Information

NPI Number : 1164578654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIRDRE SHEA MORRISSEY LCSW
Provider Business Mailing Address
First Line : 39 TAFT AVE
Second Line :
City : EASTHAMPTON
State : MA
Zip : 01027-2224
Country : US
Telephone Number : 413-527-6988
Fax Number :
Provider Business Practice Location Address
First Line : 30 OLD LYMAN RD
Second Line :
City : SOUTH HADLEY
State : MA
Zip : 01075-2630
Country : US
Telephone Number : 413-533-7140
Fax Number : 413-538-9757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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Directions to “ DEIRDRE SHEA MORRISSEY LCSW” Practice Location

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