Provider Demographics
NPI:1871535401
Name:GALLAGHER, RENEE BATTELLE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:BATTELLE
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:BATTELLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 MINERAL ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2441
Mailing Address - Country:US
Mailing Address - Phone:508-982-7356
Mailing Address - Fax:617-248-1282
Practice Address - Street 1:251 CAUSEWAY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2148
Practice Address - Country:US
Practice Address - Phone:617-248-1159
Practice Address - Fax:617-248-1282
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1114431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical