Active NPIIndividual providerSole proprietor

Mr. Edward M Samuelson, LICSW

Social Worker, Clinical in Belmont, Massachusetts

NPI Number1225247265
Practice location
115 Mill St, Belmont, MA 02478-1041
Fax
617-855-3776
Last updated
July 8, 2007

Edward Mark Samuelson is a Social Worker, Clinical based in Belmont, MA. Edward Mark Samuelson practices in Belmont, MA and has the professional credentials of LICSW. The NPI Number for Edward Mark Samuelson is 1225247265 and holds a License No. 110074 (MA). The current practice location address for Edward Mark Samuelson is 115 Mill St, Belmont, MA 02478-1041 and can be reached out via phone at 617-855-2245 and via fax at 617-855-3776.

Provider Profile Details

NPI Number
1225247265
Provider Name
Edward Mark Samuelson
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
115 Mill St, Belmont, MA 02478-1041
Phone Number
617-855-2245
Fax Number
617-855-3776
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1041
Zip
02478-1041
Phone Number
617-855-2245
Fax Number
617-855-3776
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
115 Mill St
Belmont, MA 02478-1041
City
Belmont
State
MA
Zip
02478-1041
Phone Number
617-855-2245
Fax Number
617-855-3776

License Information

License Number
110074
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 Mr. Edward M Samuelson, LICSW?

The NPI number of Mr. Edward M Samuelson, LICSW is 1225247265. It was assigned on May 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Edward M Samuelson, LICSW?

Mr. Edward M Samuelson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110074.

Where does Mr. Edward M Samuelson, LICSW practice?

The practice location is 115 Mill St, Belmont, MA 02478-1041. The office can be reached at 617-855-2245 (phone) or 617-855-3776 (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 1225247265 directly on the NPPES registry website.

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