1679503031 NPI number — MS. PATRICIA SHEEHAN BUTTERFIELD LICSW

Table of content: MS. PATRICIA SHEEHAN BUTTERFIELD LICSW (NPI 1679503031)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679503031 NPI number — MS. PATRICIA SHEEHAN BUTTERFIELD LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUTTERFIELD
Provider First Name:
PATRICIA
Provider Middle Name:
SHEEHAN
Provider Name Prefix Text:
MS.
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:
SHEEHAN
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
MAUREEN
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:
1679503031
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 FREEMAN STREET EXT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAVERHILL
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01832-4618
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-373-6923
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
COUNSELING ASSOCIATES OF DRACUT AND METHUEN
Provider Second Line Business Practice Location Address:
BROADWAY RD. RTE 113
Provider Business Practice Location Address City Name:
DRACUT
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-934-9444
Provider Business Practice Location Address Fax Number:
978-441-0800
Provider Enumeration Date:
07/03/2006

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:  111813 , 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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