Mr. Robert J Fettig, LICSW
Social Worker, Clinical in Jamaica Plain, Massachusetts
1013132497- Practice location
- 180 Morton St, Jamaica Plain, MA 02130-3735
- Phone
- 617-626-9553
- Fax
- 617-626-9578
- Last updated
- July 8, 2007
Robert J. Fettig is a Social Worker, Clinical based in Jamaica Plain, MA. Robert J. Fettig practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Robert J. Fettig is 1013132497 and holds a License No. 110208 (MA). The current practice location address for Robert J. Fettig is 180 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-626-9553 and via fax at 617-626-9578.
Provider Profile Details
- NPI Number
- 1013132497
- Provider Name
- Robert J. Fettig
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 180 Morton St, Jamaica Plain, MA 02130-3735
- Phone Number
- 617-626-9553
- Fax Number
- 617-626-9578
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Morton St
Jamaica Plain, MA 02130-3735 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-3735
- Phone Number
- 617-626-9553
- Fax Number
- 617-626-9578
Provider Business Mailing Address Details
- Address
- 180 Morton St
Jamaica Plain, MA 02130-3735 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-3735
- Phone Number
- 617-626-9553
- Fax Number
- 617-626-9578
License Information
- License Number
- 110208
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Robert J Fettig, LICSW?
The NPI number of Mr. Robert J Fettig, LICSW is 1013132497. It was assigned on April 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Robert J Fettig, LICSW?
Mr. Robert J Fettig, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110208.
Where does Mr. Robert J Fettig, LICSW practice?
The practice location is 180 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 617-626-9553 (phone) or 617-626-9578 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013132497 directly on the NPPES registry website.