Provider Demographics
NPI:1922984459
Name:GALLAGHER, CAROLYN JOANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:JOANNE
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1803
Mailing Address - Country:US
Mailing Address - Phone:203-815-9553
Mailing Address - Fax:
Practice Address - Street 1:166 VILLAGE ST
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1150
Practice Address - Country:US
Practice Address - Phone:857-293-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2293551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical