Provider Demographics
NPI:1962984567
Name:STRATTON, MAUREEN (LICSW)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:STRATTON
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 1:36 CORDAGE PARK CIR STE 326
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7320
Mailing Address - Country:US
Mailing Address - Phone:774-404-0610
Mailing Address - Fax:
Practice Address - Street 1:36 CORDAGE PARK CIR STE 326
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7320
Practice Address - Country:US
Practice Address - Phone:774-404-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1186641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical