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NPI Code Detail

MEDICARE: ERIN DUPREY LICSW

MEDICARE: ERIN DUPREY LICSW
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
11041C0700XClinical Social Worker128658MA

General Provider Information

NPI Number : 1972302503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN DUPREY LICSW
Provider Business Mailing Address
First Line : 465 MAIN ST
Second Line :
City : LYNNFIELD
State : MA
Zip : 01940-1722
Country : US
Telephone Number : 978-609-0724
Fax Number :
Provider Business Practice Location Address
First Line : 450 BEDFORD ST STE 2400
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-1544
Country : US
Telephone Number : 978-609-0724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2025
Last Update Date : 03/07/2025

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Directions to “ ERIN DUPREY LICSW” Practice Location

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