| Laurie Degrappo Licsw Llc | |
|
2 Central St Ste 13 Ipswich MA 01938-1940 | |
| (267) 879-1789 | |
| Not Available |
| Full Name | Laurie Degrappo Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2 Central St Ste 13, Ipswich, Massachusetts |
| Authorized Official Name and Position | Laurie Degrappo (OWNER) |
| Authorized Official Contact | 2678791789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Degrappo Licsw Llc 2 Central St Ste 13 Ipswich MA 01938-1940 Ph: (267) 879-1789 | Laurie Degrappo Licsw Llc 2 Central St Ste 13 Ipswich MA 01938-1940 Ph: (267) 879-1789 |
| NPI Number | 1639946304 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 2264968627 |
|---|---|
| Medicare Enrollment ID | O20241209001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639946304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laurie E Degrappo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699903773 PECOS PAC ID: 5799914008 Enrollment ID: I20140208000120 |
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