Clougherty, Colleen E

Clougherty, Colleen E is an individual health care provider with primary practice located at 43 Dartmouth St , Malden MA 02148-5103. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clougherty, Colleen E can be contacted via phone (781) 306-4821.

Contact Information

Primary practice address
43 Dartmouth St Malden MA 02148-5103
Phone: (781) 306-4821
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 221971 Massachusetts

Profile Details

NPI number 1639424724
LBN Legal business name Clougherty, Colleen E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2012
Last updated Jun 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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