Active NPIIndividual providerSole proprietor

Nathan Fanton, LICSW

Social Worker, Clinical in Manchester, Massachusetts

NPI Number1376186353
Practice location
76 Summer St Fl 2, Manchester, MA 01944-1530
Fax
978-915-2521
Last updated
April 2, 2025

Nathan Fanton is a Social Worker, Clinical based in Manchester, MA. Nathan Fanton practices in Manchester, MA and has the professional credentials of LICSW. The NPI Number for Nathan Fanton is 1376186353 and holds a License No. LICSW1121303 (MA). The current practice location address for Nathan Fanton is 76 Summer St Fl 2, Manchester, MA 01944-1530 and can be reached out via phone at 978-915-2520 and via fax at 978-915-2521.

Provider Profile Details

NPI Number
1376186353
Provider Name
Nathan Fanton
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
76 Summer St Fl 2, Manchester, MA 01944-1530
Phone Number
978-915-2520
Fax Number
978-915-2521
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2019
Last Update Date
April 2, 2025
Certification Date
April 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Summer St Fl 2
Manchester, MA 01944-1530
Zip
01944-1530
Phone Number
978-915-2520
Fax Number
978-915-2521
Manchester, MA 01944Get directions →

Provider Business Mailing Address Details

Address
Po Box 173
Manchester, MA 01944-0173
City
Manchester
State
MA
Zip
01944-0173
Phone Number
978-915-2520
Fax Number
978-915-2521

License Information

License Number
LICSW1121303
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 Nathan Fanton, LICSW?

The NPI number of Nathan Fanton, LICSW is 1376186353. It was assigned on October 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Nathan Fanton, LICSW?

Nathan Fanton, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1121303.

Where does Nathan Fanton, LICSW practice?

The practice location is 76 Summer St Fl 2, Manchester, MA 01944-1530. The office can be reached at 978-915-2520 (phone) or 978-915-2521 (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 1376186353 directly on the NPPES registry website.

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