Ennis, Deborah

Ennis, Deborah is an sole proprietor health care provider with primary practice located at 53 Merriam Ave , Leominster MA 01453-3194. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ennis, Deborah can be contacted via phone (978) 257-8062.

Contact Information

Primary practice address
53 Merriam Ave Leominster MA 01453-3194
Phone: (978) 257-8062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114600 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13532 South Carolina

Profile Details

NPI number 1366635088
LBN Legal business name Ennis, Deborah
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2007
Last updated Jun 14th, 2024 - about 5 months 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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