Provider Demographics
NPI:1306617121
Name:HOWREN, HOLLY (MSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:HOWREN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 LAFAYETTE ST APT 6
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4764
Mailing Address - Country:US
Mailing Address - Phone:678-294-8187
Mailing Address - Fax:
Practice Address - Street 1:233 LAFAYETTE ST APT 6
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4764
Practice Address - Country:US
Practice Address - Phone:678-294-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW009051104100000X
MA000226892104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker