Provider Demographics
NPI:1285740860
Name:SENECHAL, CHRISTINE M (LICSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:M
Last Name:SENECHAL
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 1:69 MILK ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1225
Mailing Address - Country:US
Mailing Address - Phone:508-361-2723
Mailing Address - Fax:508-870-7684
Practice Address - Street 1:69 MILK ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1225
Practice Address - Country:US
Practice Address - Phone:508-361-2723
Practice Address - Fax:508-870-7684
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10273831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP08483OtherBCBS PIN
MA468104OtherTUFTS PROVIDER ID #
MAP08483OtherBCBS PIN