Provider Demographics
NPI:1992410286
Name:WATSON, MARIE THERESE MCNAMARA (LMSW)
Entity type:Individual
Prefix:
First Name:MARIE THERESE
Middle Name:MCNAMARA
Last Name:WATSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MARIE THERESE
Other - Middle Name:
Other - Last Name:MCNAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 PINE TREE DR
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3217
Mailing Address - Country:US
Mailing Address - Phone:203-623-5664
Mailing Address - Fax:
Practice Address - Street 1:9 PINE TREE DR
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3217
Practice Address - Country:US
Practice Address - Phone:203-623-5664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker