NPI 1013266790

Erick Banuelos, MALCSW

Practitioner Clinical Social Worker Lawrence, MA

Practice location

Address: 73d Winthrop Ave, Lawrence, MA 01843-3716
Phone: (978) 686-0090

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 120253 (MA)

Other Social Worker providers in Massachusetts →

Registry record

NPI: 1013266790
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2012
Record last updated: 9 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.