Basic Information
| Provider Information | |||||||||
| NPI: | 1639504681 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LENAGHAN | ||||||||
| FirstName: | PAIGE | ||||||||
| MiddleName: | BAILEY | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LICSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WOODFIN | ||||||||
| OtherFirstName: | PAIGE | ||||||||
| OtherMiddleName: | BAILEY | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 40 SHADOW LAKE ROAD | ||||||||
| Address2: | |||||||||
| City: | SALEM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072666800 | ||||||||
| FaxNumber: | 6174252002 | ||||||||
| Practice Location | |||||||||
| Address1: | 26 PARKRIDGE ROAD | ||||||||
| Address2: | SUITE 2B | ||||||||
| City: | HAVERHILL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9783800147 | ||||||||
| FaxNumber: | 6174252002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2013 | ||||||||
| LastUpdateDate: | 11/15/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YS0200X | Y | Behavioral Health & Social Service Providers | Counselor | School |
No ID Information.