Basic Information
Provider Information
NPI: 1689033052
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRUMMEY
FirstName: DAWN
MiddleName: PRESLEY
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 154 OAK ST
Address2:  
City: WESTBOROUGH
State: MA
PostalCode: 015813320
CountryCode: US
TelephoneNumber: 5088981570
FaxNumber:  
Practice Location
Address1: 154 OAK STREET
Address2:  
City: WESTBOROUGH
State: MA
PostalCode: 01581
CountryCode: US
TelephoneNumber: 5088981570
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/15/2016
LastUpdateDate: 02/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health
101YA0400X  N Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
1041C0700X  N Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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