Provider Demographics
NPI:1386288033
Name:LAURA PIRROTTA LICSW LLC
Entity type:Organization
Organization Name:LAURA PIRROTTA LICSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRROTTA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-388-7692
Mailing Address - Street 1:232 ELLIOT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1202
Mailing Address - Country:US
Mailing Address - Phone:617-906-3456
Mailing Address - Fax:
Practice Address - Street 1:73 UNION ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2224
Practice Address - Country:US
Practice Address - Phone:617-383-7692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health