Brendan John Houlihan, LCSW
Individual provider Active NPI Clinical Social Worker · Turners Falls, MA
NPI 1386324804 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1386324804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 228036 (MA)
- Practice address
- 26 Prospect St Apt 2
Turners Falls, MA 01376-1382 - Phone
- (860) 841-0061
- NPI assigned
- Jul 19, 2023
- 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 |
|---|---|---|---|
| 6411 | CT | MD | Clinical Social Worker |
| 228036 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6411 | CT | |
| Clinical Social Worker | 1041C0700X | 228036 | MA | Yes |
Addresses
Primary practice location
26 Prospect St Apt 2
Turners Falls, MA 01376-1382
Mailing address
26 Prospect St Apt 2
Turners Falls, MA 01376-1382
Phone (860) 841-0061
Other providers in Turners Falls, MA
- Wesley Edward Green
- Jessie Anna Groneman
- James A Grubman
- Judith H Haupt
- Wayne Hioe
- Daniel E Jacome
- James a Andreas DMD PC
- Jeffrey M. Collura, DMD, PC
- Kathleen Kerr
- Laurence H Klein
All providers in Turners Falls, 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 Jul 19, 2023. 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.