Active NPIIndividual providerSole proprietor

Amy S Kavadlo, LICSW

Social Worker in Randolph, Massachusetts

NPI Number1629054002
Practice location
1093 N Main St, Randolph, MA 02368-2100
Fax
781-963-7776
Last updated
February 1, 2012

Amy S Kavadlo is a Social Worker based in Randolph, MA. Amy S Kavadlo practices in Randolph, MA and has the professional credentials of LICSW. The NPI Number for Amy S Kavadlo is 1629054002 and holds a License No. 104863 (MA). The current practice location address for Amy S Kavadlo is 1093 N Main St, Randolph, MA 02368-2100 and can be reached out via phone at 781-963-7775 and via fax at 781-963-7776.

Provider Profile Details

NPI Number
1629054002
Provider Name
Amy S Kavadlo
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1093 N Main St, Randolph, MA 02368-2100
Phone Number
781-963-7775
Fax Number
781-963-7776
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2005
Last Update Date
February 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1093 N Main St
Randolph, MA 02368-2100
Zip
02368-2100
Phone Number
781-963-7775
Fax Number
781-963-7776
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
1093 N Main St
Randolph, MA 02368-2100
City
Randolph
State
MA
Zip
02368-2100
Phone Number
781-963-7775
Fax Number
781-963-7776

License Information

License Number
104863
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Amy S Kavadlo, LICSW?

The NPI number of Amy S Kavadlo, LICSW is 1629054002. It was assigned on December 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Amy S Kavadlo, LICSW?

Amy S Kavadlo, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 104863.

Where does Amy S Kavadlo, LICSW practice?

The practice location is 1093 N Main St, Randolph, MA 02368-2100. The office can be reached at 781-963-7775 (phone) or 781-963-7776 (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 1629054002 directly on the NPPES registry website.

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