Active NPIIndividual provider

Joseph S D'Amico, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1669570057
Practice location
151 Mystic Ave, Medford, MA 02155-4632
Fax
781-396-1439
Last updated
July 8, 2007

Joseph S D'Amico is a Social Worker, Clinical based in Medford, MA. Joseph S D'Amico practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Joseph S D'Amico is 1669570057 and holds a License No. 107402 (MA). The current practice location address for Joseph S D'Amico is 151 Mystic Ave, Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439.

Provider Profile Details

NPI Number
1669570057
Provider Name
Joseph S D'Amico
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
151 Mystic Ave, Medford, MA 02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Mystic Ave
Medford, MA 02155-4632
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
Po Box 322
West Suffield, CT 06093-0322
City
West Suffield
State
CT
Zip
06093-0322
Phone Number
860-668-9019
Fax Number
781-396-1439

License Information

License Number
107402
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 Joseph S D'Amico, LICSW?

The NPI number of Joseph S D'Amico, LICSW is 1669570057. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Joseph S D'Amico, LICSW?

Joseph S D'Amico, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 107402.

Where does Joseph S D'Amico, LICSW practice?

The practice location is 151 Mystic Ave, Medford, MA 02155-4632. The office can be reached at 781-396-1199 (phone) or 781-396-1439 (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 1669570057 directly on the NPPES registry website.

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