Active NPIIndividual providerSole proprietor

Mr. Fred M Vanzant, LICSW

Social Worker, Clinical in Billerica, Massachusetts

NPI Number1417103474
Practice location
8 Sean Cir, Billerica, MA 01821-3780
Fax
—
Last updated
November 15, 2012

Fred M. Vanzant is a Social Worker, Clinical based in Billerica, MA. Fred M. Vanzant practices in Billerica, MA and has the professional credentials of LICSW. The NPI Number for Fred M. Vanzant is 1417103474 and holds a License No. 116894 (MA). The current practice location address for Fred M. Vanzant is 8 Sean Cir, Billerica, MA 01821-3780 and can be reached out via phone at 978-667-8589.

Provider Profile Details

NPI Number
1417103474
Provider Name
Fred M. Vanzant
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
8 Sean Cir, Billerica, MA 01821-3780
Phone Number
978-667-8589
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 11, 2008
Last Update Date
November 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Sean Cir
Billerica, MA 01821-3780
Zip
01821-3780
Phone Number
978-667-8589
Billerica, MA 01821Get directions →

Provider Business Mailing Address Details

Address
8 Sean Cir
Billerica, MA 01821-3780
City
Billerica
State
MA
Zip
01821-3780
Phone Number
978-667-8589

License Information

License Number
116894
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. Fred M Vanzant, LICSW?

The NPI number of Mr. Fred M Vanzant, LICSW is 1417103474. It was assigned on August 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Fred M Vanzant, LICSW?

Mr. Fred M Vanzant, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116894.

Where does Mr. Fred M Vanzant, LICSW practice?

The practice location is 8 Sean Cir, Billerica, MA 01821-3780. The office can be reached at 978-667-8589 (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 1417103474 directly on the NPPES registry website.

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