Willard, Joan Carmody

Willard, Joan Carmody is an sole proprietor health care provider with primary practice located at 95 West St , Walpole MA 02081-1819. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willard, Joan Carmody can be contacted via phone (781) 437-1323.

Contact Information

Primary practice address
95 West St Walpole MA 02081-1819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 111848 Massachusetts

Profile Details

NPI number 1417083882
LBN Legal business name Willard, Joan Carmody
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417083882 NPPES
Massachusetts Other M18708 BLUE CROSS
Massachusetts Other 685661 BLUE CROSS
Massachusetts MEDICAID 1312677 BLUE CROSS

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