Provider Demographics
NPI:1053581405
Name:KOKALIARI, EFFROSYNI DIONYSIOS (LICSW PHD)
Entity type:Individual
Prefix:DR
First Name:EFFROSYNI
Middle Name:DIONYSIOS
Last Name:KOKALIARI
Suffix:
Gender:F
Credentials:LICSW PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3215
Mailing Address - Country:US
Mailing Address - Phone:413-320-9790
Mailing Address - Fax:
Practice Address - Street 1:8 TRUMBULL RD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3014
Practice Address - Country:US
Practice Address - Phone:413-265-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-01
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2755611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical