Provider Demographics
NPI:1871772327
Name:PEREIRA, MARIA C (MSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:PEREIRA
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 1:1600 BAY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-1216
Mailing Address - Country:US
Mailing Address - Phone:508-674-4681
Mailing Address - Fax:508-675-2224
Practice Address - Street 1:1600 BAY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-1216
Practice Address - Country:US
Practice Address - Phone:508-674-4681
Practice Address - Fax:508-675-2224
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1018754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health