MEDICARE: HEATHER TOWER 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
1	104100000X	Social Worker	203082	MA

General Provider Information

NPI Number	:	1528253143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER TOWER LCSW

Provider Business Mailing Address
First Line	:	46 MAIN ST
Second Line	:
City	:	NORTHFIELD
State	:	MA
Zip	:	01360-1023
Country	:	US
Telephone Number	:	413-498-5382
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 MAIN ST
Second Line	:
City	:	NORTHFIELD
State	:	MA
Zip	:	01360-1023
Country	:	US
Telephone Number	:	413-498-5382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	03/13/2009

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