Provider Demographics
NPI:1053560516
Name:O'BRIEN, HEATHER EILEEN (MSW)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:EILEEN
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20C MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MAYNARD
Mailing Address - State:MA
Mailing Address - Zip Code:01754-2341
Mailing Address - Country:US
Mailing Address - Phone:978-841-5964
Mailing Address - Fax:
Practice Address - Street 1:20C MAPLE ST
Practice Address - Street 2:
Practice Address - City:MAYNARD
Practice Address - State:MA
Practice Address - Zip Code:01754-2341
Practice Address - Country:US
Practice Address - Phone:978-841-5964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical