Provider Demographics
NPI:1487139747
Name:TIRONE, PAULA (LICSW)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:TIRONE
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 1:5 WINCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-5765
Mailing Address - Country:US
Mailing Address - Phone:617-750-1562
Mailing Address - Fax:
Practice Address - Street 1:25 WELLMAN AVE
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1334
Practice Address - Country:US
Practice Address - Phone:978-251-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1173831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical