Benjamin Maniscalco, LICSW
Social Worker, Clinical in Burlington, Massachusetts
1104220961- Practice location
- 111 S Bedford St Ste 208, Burlington, MA 01803-5145
- Phone
- 781-309-7207
- Fax
- —
- Last updated
- August 30, 2020
Benjamin Maniscalco is a Social Worker, Clinical based in Burlington, MA. Benjamin Maniscalco practices in Burlington, MA and has the professional credentials of LICSW. The NPI Number for Benjamin Maniscalco is 1104220961 and holds a License No. 122879 (MA). The current practice location address for Benjamin Maniscalco is 111 S Bedford St Ste 208, Burlington, MA 01803-5145 and can be reached out via phone at 781-309-7207.
Provider Profile Details
- NPI Number
- 1104220961
- Provider Name
- Benjamin Maniscalco
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 S Bedford St Ste 208, Burlington, MA 01803-5145
- Phone Number
- 781-309-7207
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 22, 2014
- Last Update Date
- August 30, 2020
- Certification Date
- August 30, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 S Bedford St Ste 208
Burlington, MA 01803-5145 - City
- Burlington
- State
- Massachusetts
- Zip
- 01803-5145
- Phone Number
- 781-309-7207
Provider Business Mailing Address Details
- Address
- 111 S Bedford St Ste 208
Burlington, MA 01803-5145 - City
- Burlington
- State
- MA
- Zip
- 01803-5145
- Phone Number
- 781-309-7207
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 122879
- License State (2)
- MA
- Taxonomy (2)
- 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 Benjamin Maniscalco, LICSW?
The NPI number of Benjamin Maniscalco, LICSW is 1104220961. It was assigned on October 22, 2014 and is currently active in the NPPES registry.
What is the specialty of Benjamin Maniscalco, LICSW?
Benjamin Maniscalco, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122879.
Where does Benjamin Maniscalco, LICSW practice?
The practice location is 111 S Bedford St Ste 208, Burlington, MA 01803-5145. The office can be reached at 781-309-7207 (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 1104220961 directly on the NPPES registry website.