Provider Demographics
NPI:1457421059
Name:MARCH, ELIZABETH BREWSTER (LICSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:BREWSTER
Last Name:MARCH
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:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-0144
Mailing Address - Country:US
Mailing Address - Phone:413-584-6004
Mailing Address - Fax:413-569-6493
Practice Address - Street 1:54 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2120
Practice Address - Country:US
Practice Address - Phone:413-584-6004
Practice Address - Fax:413-569-6493
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA1047811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical