Maryann E. Paleologopoulos Licsw, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114945 Issued in MA

Legal business name

MARYANN E. PALEOLOGOPOULOS LICSW, INC

Practice address

2 S Bridge Dr
Suite 1B
Agawam, MA 01001-2015

Phone

(413) 789-0200

Fax

(413) 789-0201

NPI assigned

Jul 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maryann E. Paleologopoulos, LICSWNPI 1306082334

Title

Owner

Phone

(413) 789-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryann Elizabeth Paleologopoulos, LICSW

  • Clinical Social Worker
  • Agawam, MA
  • NPI 1306082334
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1851656193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S BRIDGE DR",
            "address_2": "SUITE 1B",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012015",
            "telephone_number": "413-789-0200",
            "fax_number": "413-789-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S BRIDGE DR",
            "address_2": "SUITE 1B",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012015",
            "telephone_number": "413-789-0200",
            "fax_number": "413-789-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANN E. PALEOLOGOPOULOS LICSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "PALEOLOGOPOULOS",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-789-0200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Magiera, DMD
• Suzanne Flint Malloy, NP MSN
• Amy Lynne Mantha, BA
• Beth Markens, NP
• Zachary T Martin, DPT
• Christopher Joseph Maschino Jr., LADC I, CADC
• Bridget Ellen McCarthy, PTA
• Kerry J McCarthy, LMT
• Michael J McDonald, PA
• Shaun McDonald, PTA

• Clinical Social Worker in Agawam, MA
• Providers in Agawam, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.