Active NPIIndividual provider

Olivia A Amadon, LICSW

Social Worker, Clinical in East Boston, Massachusetts

NPI Number1174987804
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
—
Last updated
February 13, 2025

Olivia Anjeannette Amadon is a Social Worker, Clinical based in East Boston, MA. Olivia Anjeannette Amadon practices in East Boston, MA and has the professional credentials of LICSW. The NPI Number for Olivia Anjeannette Amadon is 1174987804 and holds a License No. LICSW121568 (MA). The current practice location address for Olivia Anjeannette Amadon is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800.

Provider Profile Details

NPI Number
1174987804
Provider Name
Olivia Anjeannette Amadon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-569-5800
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 8, 2016
Last Update Date
February 13, 2025
Certification Date
February 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-569-5800
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800

License Information

Taxonomy (1)
Social Worker · 104100000X
License Number (2)
LICSW121568
License State (2)
MA
Taxonomy (2)
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 Olivia A Amadon, LICSW?

The NPI number of Olivia A Amadon, LICSW is 1174987804. It was assigned on April 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Olivia A Amadon, LICSW?

Olivia A Amadon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW121568.

Where does Olivia A Amadon, LICSW practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (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 1174987804 directly on the NPPES registry website.

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