Active NPIIndividual providerSole proprietor

Ms. Fay L Champoux, LICSW

Social Worker, Clinical in Brookline, Massachusetts

NPI Number1326394750
Practice location
1415 Beacon St.,, Boston Institute For Psychotherapy Suite 120, Brookline, MA 02446
Fax
—
Last updated
August 20, 2012

Fay Lucille Champoux is a Social Worker, Clinical based in Brookline, MA. Fay Lucille Champoux practices in Brookline, MA and has the professional credentials of LICSW. The NPI Number for Fay Lucille Champoux is 1326394750 and holds a License No. 111365 (MA). The current practice location address for Fay Lucille Champoux is 1415 Beacon St.,, Boston Institute For Psychotherapy Suite 120, Brookline, MA 02446 and can be reached out via phone at 617-566-2200.

Provider Profile Details

NPI Number
1326394750
Provider Name
Fay Lucille Champoux
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1415 Beacon St.,, Boston Institute For Psychotherapy Suite 120, Brookline, MA 02446
Phone Number
617-566-2200
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2012
Last Update Date
August 20, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1415 Beacon St.,
Boston Institute For Psychotherapy Suite 120
Brookline, MA 02446
Zip
02446
Phone Number
617-566-2200
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
21 Treehouse Cir
Apartment 3
Easthampton, MA 01027-2175
City
Easthampton
State
MA
Zip
01027-2175
Phone Number
413-459-1479

License Information

License Number
111365
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.

Other Social Worker, Clinical providers near Brookline, MA

View all Social Worker, Clinical providers in Brookline →

Frequently Asked Questions

What is the NPI number of Ms. Fay L Champoux, LICSW?

The NPI number of Ms. Fay L Champoux, LICSW is 1326394750. It was assigned on August 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Fay L Champoux, LICSW?

Ms. Fay L Champoux, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111365.

Where does Ms. Fay L Champoux, LICSW practice?

The practice location is 1415 Beacon St.,, Boston Institute For Psychotherapy Suite 120, Brookline, MA 02446. The office can be reached at 617-566-2200 (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 1326394750 directly on the NPPES registry website.

Browse related providers