Provider Demographics
NPI:1447460720
Name:CURRO, CRISTINA (LICSW)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:CURRO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PRINCE PL STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2657
Mailing Address - Country:US
Mailing Address - Phone:978-478-7805
Mailing Address - Fax:
Practice Address - Street 1:10 PRINCE PL STE 201
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2657
Practice Address - Country:US
Practice Address - Phone:978-478-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1312294Medicaid