Provider Demographics
NPI:1194714915
Name:LITTLEFIELD, DIANE (LICSW)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:LITTLEFIELD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:L
Other - Last Name:RITSHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:80 WASHINGTON ST
Mailing Address - Street 2:SUITE D-26
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1740
Mailing Address - Country:US
Mailing Address - Phone:781-878-0800
Mailing Address - Fax:
Practice Address - Street 1:80 WASHINGTON ST
Practice Address - Street 2:SUITE D-26
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1740
Practice Address - Country:US
Practice Address - Phone:781-878-0800
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1052021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPO3446OtherBC/BS PROVIDER NUMBER
MAPO3446Medicare ID - Type UnspecifiedPROVIDER NUMBER