Doctor Name: | ANGELA CORRIDAN |
NPI Number: | 1003971656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 114719 |
Business Practice Address: | 80 Washington St Suite C-17 Norwell, MA - 020611740 |
Business Phone Number: | 7813474714 |
Business Fax Number: | |
Mailing Address: | 80 Washington St, Suite C-17 NORWELL |
State: | MA |
Postal Code: | 020611740 |
Phone Number: | 7813474714 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 114719 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |