Active NPIIndividual provider

Mrs. Rebecca J Faherty, LICSW, LADC1, C-SWHC

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1699860148
Practice location
940 Belmont Street, Brockton, MA 02601
Fax
774-826-2073
Last updated
December 14, 2010

Rebecca Jean Faherty is a Social Worker, Clinical based in Brockton, MA. Rebecca Jean Faherty practices in Brockton, MA and has the professional credentials of LICSW, LADC1, C-SWHC. The NPI Number for Rebecca Jean Faherty is 1699860148 and holds a License No. 1100 (MA). The current practice location address for Rebecca Jean Faherty is 940 Belmont Street, Brockton, MA 02601 and can be reached out via phone at 508-583-4500 and via fax at 774-826-2073.

Provider Profile Details

NPI Number
1699860148
Provider Name
Rebecca Jean Faherty
Credential
LICSW, LADC1, C-SWHC
Provider Entity Type
Individual
Gender
Female
Address
940 Belmont Street, Brockton, MA 02601
Phone Number
508-583-4500
Fax Number
774-826-2073
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2006
Last Update Date
December 14, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
940 Belmont Street
Brockton, MA 02601
Zip
02601
Phone Number
508-583-4500
Fax Number
774-826-2073
Brockton, MA 02601Get directions →

Provider Business Mailing Address Details

Address
940 Belmont Street
Brockton, MA 02601
City
Brockton
State
MA
Zip
02601
Phone Number
508-583-4500
Fax Number
774-826-2073

License Information

License Number (1)
1100
License State (1)
MA
License Number (2)
114617
License State (2)
MA
Taxonomy (2)
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 Mrs. Rebecca J Faherty, LICSW, LADC1, C-SWHC?

The NPI number of Mrs. Rebecca J Faherty, LICSW, LADC1, C-SWHC is 1699860148. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Rebecca J Faherty, LICSW, LADC1, C-SWHC?

Mrs. Rebecca J Faherty, LICSW, LADC1, C-SWHC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1100.

Where does Mrs. Rebecca J Faherty, LICSW, LADC1, C-SWHC practice?

The practice location is 940 Belmont Street, Brockton, MA 02601. The office can be reached at 508-583-4500 (phone) or 774-826-2073 (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 1699860148 directly on the NPPES registry website.

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