1639504681 NPI number — MRS. PAIGE BAILEY LENAGHAN LICSW

Table of content: MRS. PAIGE BAILEY LENAGHAN LICSW (NPI 1639504681)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639504681 NPI number — MRS. PAIGE BAILEY LENAGHAN LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LENAGHAN
Provider First Name:
PAIGE
Provider Middle Name:
BAILEY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WOODFIN
Provider Other First Name:
PAIGE
Provider Other Middle Name:
BAILEY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639504681
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 SHADOW LAKE ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03079
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-266-6800
Provider Business Mailing Address Fax Number:
617-425-2002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26 PARKRIDGE ROAD
Provider Second Line Business Practice Location Address:
SUITE 2B
Provider Business Practice Location Address City Name:
HAVERHILL
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-380-0147
Provider Business Practice Location Address Fax Number:
617-425-2002
Provider Enumeration Date:
09/10/2013

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: 101YS0200X ; 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