Active NPIIndividual provider

Amanda Mayberry, LCSW

Counselor, Mental Health in Dorchester, Massachusetts

NPI Number1346626256
Practice location
415 Neponset Ave, Dorchester, MA 02122-3168
Fax
857-217-3750
Last updated
August 3, 2015

Amanda Mayberry is a Counselor, Mental Health based in Dorchester, MA. Amanda Mayberry practices in Dorchester, MA and has the professional credentials of LCSW. The NPI Number for Amanda Mayberry is 1346626256 and holds a License No. 220963 (MA). The current practice location address for Amanda Mayberry is 415 Neponset Ave, Dorchester, MA 02122-3168 and can be reached out via phone at 857-217-3700 and via fax at 857-217-3750.

Provider Profile Details

NPI Number
1346626256
Provider Name
Amanda Mayberry
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
415 Neponset Ave, Dorchester, MA 02122-3168
Phone Number
857-217-3700
Fax Number
857-217-3750
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2015
Last Update Date
August 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Neponset Ave
Dorchester, MA 02122-3168
Zip
02122-3168
Phone Number
857-217-3700
Fax Number
857-217-3750
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
415 Neponset Ave
Dorchester, MA 02122-3168
City
Dorchester
State
MA
Zip
02122-3168
Phone Number
857-217-3700
Fax Number
857-217-3750

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
220963
License State (2)
MA
Taxonomy (2)
Social Worker · 104100000X

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 Amanda Mayberry, LCSW?

The NPI number of Amanda Mayberry, LCSW is 1346626256. It was assigned on August 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Amanda Mayberry, LCSW?

Amanda Mayberry, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 220963.

Where does Amanda Mayberry, LCSW practice?

The practice location is 415 Neponset Ave, Dorchester, MA 02122-3168. The office can be reached at 857-217-3700 (phone) or 857-217-3750 (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 1346626256 directly on the NPPES registry website.

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