Doctor Name: | LOIS GENNARI |
NPI Number: | 1578523510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 062535 |
Business Practice Address: | 20 Lewis Avenue Gt Barrington, MA - 01230 |
Business Phone Number: | 4135281845 |
Business Fax Number: | 4135283667 |
Mailing Address: | 20 Lewis Avenue, GT BARRINGTON |
State: | MA |
Postal Code: | 01230 |
Phone Number: | 4135281845 |
Fax Number: | 4135283667 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 062535 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |