1033186424 NPI number — MS. CAROLINDA SUITOR STERCZALA MSW LICSW

Table of content: MS. CAROLINDA SUITOR STERCZALA MSW LICSW (NPI 1033186424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033186424 NPI number — MS. CAROLINDA SUITOR STERCZALA MSW LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STERCZALA
Provider First Name:
CAROLINDA
Provider Middle Name:
SUITOR
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WARTER
Provider Other First Name:
CAROLINDA
Provider Other Middle Name:
SUITOR
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
BS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1033186424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
73 PRINCETON ST
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
N CHELMSFORD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01863-1558
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-256-6579
Provider Business Mailing Address Fax Number:
978-256-1943

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
73 PRINCETON ST
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
N CHELMSFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01863-1558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-256-6579
Provider Business Practice Location Address Fax Number:
978-256-1943
Provider Enumeration Date:
03/03/2006

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: 1041C0700X , with the licence number:  113001 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com