Provider Demographics
NPI:1992014351
Name:O'BRIEN, CHRISTY ERIN (LICSW)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ERIN
Last Name:O'BRIEN
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 1:48 N PLEASANT ST STE 207
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1741
Mailing Address - Country:US
Mailing Address - Phone:413-566-1155
Mailing Address - Fax:413-566-1156
Practice Address - Street 1:48 N PLEASANT ST STE 207
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1741
Practice Address - Country:US
Practice Address - Phone:413-566-1155
Practice Address - Fax:413-566-1156
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1174581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical