Provider Demographics
NPI:1154804094
Name:CONNORS HERSHMAN, VIRGINIA (LICSW)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:
Last Name:CONNORS HERSHMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 NIANTIC RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2941
Mailing Address - Country:US
Mailing Address - Phone:781-690-2133
Mailing Address - Fax:
Practice Address - Street 1:400 UNION ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-3149
Practice Address - Country:US
Practice Address - Phone:781-335-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10208201041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool