Active NPIIndividual providerSole proprietor

Ms. Christine Fahey, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1063994101
Practice location
35 Elm St, Medford, MA 02155-1006
Fax
—
Last updated
September 5, 2018

Christine Fahey is a Social Worker, Clinical based in Medford, MA. Christine Fahey practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Christine Fahey is 1063994101 and holds a License No. 1024031 (MA). The current practice location address for Christine Fahey is 35 Elm St, Medford, MA 02155-1006 and can be reached out via phone at 617-771-7807.

Provider Profile Details

NPI Number
1063994101
Provider Name
Christine Fahey
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
35 Elm St, Medford, MA 02155-1006
Phone Number
617-771-7807
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2018
Last Update Date
September 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Elm St
Medford, MA 02155-1006
Zip
02155-1006
Phone Number
617-771-7807
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
35 Elm St
Medford, MA 02155-1006
City
Medford
State
MA
Zip
02155-1006
Phone Number
617-771-7807

License Information

License Number
1024031
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Christine Fahey, LICSW?

The NPI number of Ms. Christine Fahey, LICSW is 1063994101. It was assigned on September 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Christine Fahey, LICSW?

Ms. Christine Fahey, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1024031.

Where does Ms. Christine Fahey, LICSW practice?

The practice location is 35 Elm St, Medford, MA 02155-1006. The office can be reached at 617-771-7807 (phone).

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 1063994101 directly on the NPPES registry website.

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