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Contact Information

PATRICIA G WALLERSTEIN, MSW LICSW
100 MAIN STREET
SUITE 11
AMESBURY, MA01913
 Phone: 978-388-5311
 Fax: 978-388-5571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PATRICIA G WALLERSTEIN · (Female)

NPI # 1093891871
Status Active
Credentials MSW LICSW
Entity Individual
Enumeration date 10/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1022652
  • MA Medicaid 1890247
  • MA Other PP0352 BCBS
  • MA Other 102265 TUFTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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