Provider Demographics
NPI:1265165906
Name:O'BRIEN, FOLIUM (LICSW)
Entity type:Individual
Prefix:
First Name:FOLIUM
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-3166
Mailing Address - Country:US
Mailing Address - Phone:231-737-1805
Mailing Address - Fax:
Practice Address - Street 1:101 FEDERAL ST STE 1900
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1861
Practice Address - Country:US
Practice Address - Phone:323-205-7088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011203061041C0700X
PACW0262771041C0700X
MALICSW11406651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical