Provider Demographics
NPI:1316123532
Name:CARRIGAN, SHARYL LYNN (MSW)
Entity type:Individual
Prefix:
First Name:SHARYL
Middle Name:LYNN
Last Name:CARRIGAN
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 1:1143 EAST ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-3411
Mailing Address - Country:US
Mailing Address - Phone:508-631-0163
Mailing Address - Fax:
Practice Address - Street 1:705 MOUNT AUBURN ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472
Practice Address - Country:US
Practice Address - Phone:617-972-9400
Practice Address - Fax:888-977-0776
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2018-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2131951041C0700X
MA1145811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical