Active NPIIndividual provider

Amy Dillingham, LICSW

Social Worker, Clinical in Somerville, Massachusetts

NPI Number1205905791
Practice location
26 Central St, Somerville, MA 02143-2827
Fax
617-591-6435
Last updated
July 8, 2007

Amy Dillingham is a Social Worker, Clinical based in Somerville, MA. Amy Dillingham practices in Somerville, MA and has the professional credentials of LICSW. The NPI Number for Amy Dillingham is 1205905791 and holds a License No. 111970 (MA). The current practice location address for Amy Dillingham is 26 Central St, Somerville, MA 02143-2827 and can be reached out via phone at 617-591-6458 and via fax at 617-591-6435.

Provider Profile Details

NPI Number
1205905791
Provider Name
Amy Dillingham
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
26 Central St, Somerville, MA 02143-2827
Phone Number
617-591-6458
Fax Number
617-591-6435
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Central St
Somerville, MA 02143-2827
Zip
02143-2827
Phone Number
617-591-6458
Fax Number
617-591-6435
Somerville, MA 02143Get directions →

Provider Business Mailing Address Details

Address
1493 Cambridge St
Cambridge, MA 02139-1047
City
Cambridge
State
MA
Zip
02139-1047
Phone Number
617-591-6458
Fax Number
617-591-6435

License Information

License Number
111970
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 Amy Dillingham, LICSW?

The NPI number of Amy Dillingham, LICSW is 1205905791. It was assigned on November 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Amy Dillingham, LICSW?

Amy Dillingham, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111970.

Where does Amy Dillingham, LICSW practice?

The practice location is 26 Central St, Somerville, MA 02143-2827. The office can be reached at 617-591-6458 (phone) or 617-591-6435 (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 1205905791 directly on the NPPES registry website.

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