1578896411 NPI number — MS. LINDSAY MORIN CIEPIELA MSW

Table of content: MS. LINDSAY MORIN CIEPIELA MSW (NPI 1578896411)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578896411 NPI number — MS. LINDSAY MORIN CIEPIELA MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CIEPIELA
Provider First Name:
LINDSAY
Provider Middle Name:
MORIN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORIN
Provider Other First Name:
LINDSAY
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1578896411
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 OAK STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-325-3344
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 FISKE AVE.
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
GREENFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-325-3344
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110027977 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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