Provider Demographics
NPI:1104460005
Name:PAPARAZZO, TANIA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:MARIE
Last Name:PAPARAZZO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MAGILL DR
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01519-1330
Mailing Address - Country:US
Mailing Address - Phone:508-612-1749
Mailing Address - Fax:
Practice Address - Street 1:90 MAGILL DR
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01519-1330
Practice Address - Country:US
Practice Address - Phone:508-612-1749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223205104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker