Wayne M Pineau, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Boylston, MA
NPI 1346407103 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1346407103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1020271 (MA)
- Practice address
- 1 Elmwood PL
Boylston, MA 01505-2040 - Phone
- (508) 869-0197
- NPI assigned
- May 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020271 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1020271 | MA | Yes |
Addresses
Primary practice location
1 Elmwood PL
Boylston, MA 01505-2040
Mailing address
1 Elmwood PL
Boylston, MA 01505-2040
Other providers in Boylston, MA
- Luz V Mercado
- Kevin James Moyer-Wilkes
- Lisa Munroe
- Susan Ryan Palmer
- Karen Kiver Patalano
- Professional Dental Allaince of Massachusetts PLLC
- Michaela Rapoza
- Richer Soil Counseling LLC
- John Francis Scanlon
- Richard Scott Shanks Jr.
All providers in Boylston, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.