Provider Demographics
NPI:1124789748
Name:MAUREEN PATRICIA DOWNES
Entity type:Organization
Organization Name:MAUREEN PATRICIA DOWNES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:DOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-454-4876
Mailing Address - Street 1:16 MADISON DR
Mailing Address - Street 2:
Mailing Address - City:EAST SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-1353
Mailing Address - Country:US
Mailing Address - Phone:508-454-4876
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:53 PORTSIDE DR
Practice Address - Street 2:
Practice Address - City:POCASSET
Practice Address - State:MA
Practice Address - Zip Code:02559-1909
Practice Address - Country:US
Practice Address - Phone:508-454-4876
Practice Address - Fax:508-433-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty