Basic Information
| Provider Information | |||||||||
| NPI: | 1740373695 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCMANN | ||||||||
| FirstName: | MAURA | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 COLONIAL WAY | ||||||||
| Address2: | |||||||||
| City: | SCITUATE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02066 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815452540 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 LEDGEWOOD PL | ||||||||
| Address2: | |||||||||
| City: | ROCKLAND | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818716550 | ||||||||
| FaxNumber: | 7818715973 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 1041C0700X | 106693 | MA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.