Active NPIIndividual providerSole proprietor

Mr. Thomas Mecsas-Faxon, LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1740326685
Practice location
161 S Huntington Ave, Jamaica Plain, MA 02130-4885
Fax
—
Last updated
July 8, 2007

Thomas Mecsas-Faxon is a Social Worker, Clinical based in Jamaica Plain, MA. Thomas Mecsas-Faxon practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Thomas Mecsas-Faxon is 1740326685 and holds a License No. 1021085 (MA). The current practice location address for Thomas Mecsas-Faxon is 161 S Huntington Ave, Jamaica Plain, MA 02130-4885 and can be reached out via phone at 617-264-5342.

Provider Profile Details

NPI Number
1740326685
Provider Name
Thomas Mecsas-Faxon
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
161 S Huntington Ave, Jamaica Plain, MA 02130-4885
Phone Number
617-264-5342
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Mr. Thomas Faxon, LICSW (Professional Name)
Provider Enumeration Date
January 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 S Huntington Ave
Jamaica Plain, MA 02130-4885
Zip
02130-4885
Phone Number
617-264-5342
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
78 S Pleasant St
Sharon, MA 02067-1924
City
Sharon
State
MA
Zip
02067-1924
Phone Number
781-784-3631

License Information

License Number
1021085
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. Thomas Mecsas-Faxon, LICSW?

The NPI number of Mr. Thomas Mecsas-Faxon, LICSW is 1740326685. It was assigned on January 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Thomas Mecsas-Faxon, LICSW?

Mr. Thomas Mecsas-Faxon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1021085.

Where does Mr. Thomas Mecsas-Faxon, LICSW practice?

The practice location is 161 S Huntington Ave, Jamaica Plain, MA 02130-4885. The office can be reached at 617-264-5342 (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 1740326685 directly on the NPPES registry website.

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