Active NPIIndividual provider

Samantha Fazio, LCSW

Counselor, Mental Health in Bedford, Massachusetts

NPI Number1619608643
Practice location
205 Burlington RD, Bedford, MA 01730-1406
Fax
—
Last updated
December 23, 2025

Samantha Fazio is a Counselor, Mental Health based in Bedford, MA. Samantha Fazio practices in Bedford, MA and has the professional credentials of LCSW. The NPI Number for Samantha Fazio is 1619608643 and holds a License No. LCSW229923 (MA). The current practice location address for Samantha Fazio is 205 Burlington RD, Bedford, MA 01730-1406 and can be reached out via phone at 781-862-3600.

Provider Profile Details

NPI Number
1619608643
Provider Name
Samantha Fazio
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
205 Burlington RD, Bedford, MA 01730-1406
Phone Number
781-862-3600
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2022
Last Update Date
December 23, 2025
Certification Date
December 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
205 Burlington RD
Bedford, MA 01730-1406
Zip
01730-1406
Phone Number
781-862-3600
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
205 Burlington RD
Bedford, MA 01730-1406
City
Bedford
State
MA
Zip
01730-1406

License Information

License Number
LCSW229923
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Samantha Fazio, LCSW?

The NPI number of Samantha Fazio, LCSW is 1619608643. It was assigned on June 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Samantha Fazio, LCSW?

Samantha Fazio, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LCSW229923.

Where does Samantha Fazio, LCSW practice?

The practice location is 205 Burlington RD, Bedford, MA 01730-1406. The office can be reached at 781-862-3600 (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 1619608643 directly on the NPPES registry website.

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