1063747897 NPI number — MS. TOMASIN AISLINN SEABRIGHT LCSW

Table of content: MS. TOMASIN AISLINN SEABRIGHT LCSW (NPI 1063747897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063747897 NPI number — MS. TOMASIN AISLINN SEABRIGHT LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEABRIGHT
Provider First Name:
TOMASIN
Provider Middle Name:
AISLINN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WHITAKER
Provider Other First Name:
TOMASIN
Provider Other Middle Name:
ASHLEIGH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063747897
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/20/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 472
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILLIAMSBURG
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-313-9445
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
131 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01364-1150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-544-2148
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2009

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: 1041C0700X , with the licence number:  213133 , 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)





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