Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARYELLEN FAIRCHILD COLLAMORE, LICSW, LCSW, MT-BC
Active Sole ProprietorMS. MARYELLEN FAIRCHILD COLLAMORE, LICSW, LCSW, MT-BC is a Clinical Social Worker healthcare provider located in SOUTH HAMILTON, Massachusetts. NPI 1124336920 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SOUTH HAMILTON, MA
Registration Details
- NPI Number
- 1124336920
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2010 (15.727085213688 yrs)
- Last Updated
- May 28, 2021
- Licenses
-
81865 (CA)09139 (PA)121357 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
380 HIGHLAND STSOUTH HAMILTON, MA, 019821310Browse MA providers · Browse ZIP 01982
- Phone
- 9782331226
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Music Therapist
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SOUTH HAMILTON, MA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT KAUFMAN | MSW | 1891838645 |
| JESSICA REDIS | — | 1770778003 |
| PATRICIA AXSOM O'BRIEN | M.DIV., LICSW | 1801030416 |
| ALISON ELIZABETH TRIMBY | LICSW | 1104126226 |
| MS. JESSICA HAMMON WEBB | LICSW | 1891121471 |
| ERIC EID-REINER | MSW, LICSW | 1265802003 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.