Doctor Name: | MRS. BETH BRINKMANN CIANCI |
NPI Number: | 1104831502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110164 |
Business Practice Address: | 32 Robbins Rd Walpole, MA - 020811925 |
Business Phone Number: | 5085246299 |
Business Fax Number: | |
Mailing Address: | 32 Robbins Rd, WALPOLE |
State: | MA |
Postal Code: | 020811925 |
Phone Number: | 5085246299 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110164 |
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 |