Provider Demographics
NPI:1710723358
Name:SCAHILL, MARIBETH (LCSW)
Entity type:Individual
Prefix:
First Name:MARIBETH
Middle Name:
Last Name:SCAHILL
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 1:16 WILCOX MNR
Mailing Address - Street 2:
Mailing Address - City:PAWCATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06379-1813
Mailing Address - Country:US
Mailing Address - Phone:860-501-3299
Mailing Address - Fax:
Practice Address - Street 1:16 WILCOX MNR
Practice Address - Street 2:
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-1813
Practice Address - Country:US
Practice Address - Phone:860-501-3299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW00894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health