Amanda D Fenton, LICSW, MSW
Social Worker, Clinical in Arlington, Massachusetts
1114241627- Practice location
- 366 Massachusetts Ave, Suite 303, Arlington, MA 02474-6733
- Phone
- 617-680-5724
- Fax
- —
- Last updated
- November 5, 2012
Amanda Destefano Fenton is a Social Worker, Clinical based in Arlington, MA. Amanda Destefano Fenton practices in Arlington, MA and has the professional credentials of LICSW, MSW. The NPI Number for Amanda Destefano Fenton is 1114241627 and holds a License No. 115429 (MA). The current practice location address for Amanda Destefano Fenton is 366 Massachusetts Ave, Suite 303, Arlington, MA 02474-6733 and can be reached out via phone at 617-680-5724.
Provider Profile Details
- NPI Number
- 1114241627
- Provider Name
- Amanda Destefano Fenton
- Credential
- LICSW, MSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 366 Massachusetts Ave, Suite 303, Arlington, MA 02474-6733
- Phone Number
- 617-680-5724
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 26, 2010
- Last Update Date
- November 5, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 366 Massachusetts Ave
Suite 303
Arlington, MA 02474-6733 - City
- Arlington
- State
- Massachusetts
- Zip
- 02474-6733
- Phone Number
- 617-680-5724
Provider Business Mailing Address Details
- Address
- 366 Massachusetts Ave
Suite 303
Arlington, MA 02474-6733 - City
- Arlington
- State
- MA
- Zip
- 02474-6733
- Phone Number
- 617-680-5724
License Information
- License Number
- 115429
- 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 Amanda D Fenton, LICSW, MSW?
The NPI number of Amanda D Fenton, LICSW, MSW is 1114241627. It was assigned on March 26, 2010 and is currently active in the NPPES registry.
What is the specialty of Amanda D Fenton, LICSW, MSW?
Amanda D Fenton, LICSW, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115429.
Where does Amanda D Fenton, LICSW, MSW practice?
The practice location is 366 Massachusetts Ave, Suite 303, Arlington, MA 02474-6733. The office can be reached at 617-680-5724 (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 1114241627 directly on the NPPES registry website.