Active NPIIndividual providerSole proprietor

Amanda A Datro, LICSW

Social Worker, Clinical in Charlestown, Massachusetts

NPI Number1760722128
Practice location
23 Concord St Apt 2, Charlestown, MA 02129-2524
Fax
—
Last updated
June 17, 2020

Amanda A. Datro is a Social Worker, Clinical based in Charlestown, MA. Amanda A. Datro practices in Charlestown, MA and has the professional credentials of LICSW. The NPI Number for Amanda A. Datro is 1760722128 and holds a License No. 119784 (MA). The current practice location address for Amanda A. Datro is 23 Concord St Apt 2, Charlestown, MA 02129-2524 and can be reached out via phone at 617-840-9686.

Provider Profile Details

NPI Number
1760722128
Provider Name
Amanda A. Datro
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
23 Concord St Apt 2, Charlestown, MA 02129-2524
Phone Number
617-840-9686
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2013
Last Update Date
June 17, 2020
Certification Date
June 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Concord St Apt 2
Charlestown, MA 02129-2524
Zip
02129-2524
Phone Number
617-840-9686
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
23 Concord St Apt 2
Charlestown, MA 02129-2524
City
Charlestown
State
MA
Zip
02129-2524
Phone Number
617-840-9686

License Information

License Number
119784
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 Amanda A Datro, LICSW?

The NPI number of Amanda A Datro, LICSW is 1760722128. It was assigned on February 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Amanda A Datro, LICSW?

Amanda A Datro, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119784.

Where does Amanda A Datro, LICSW practice?

The practice location is 23 Concord St Apt 2, Charlestown, MA 02129-2524. The office can be reached at 617-840-9686 (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 1760722128 directly on the NPPES registry website.

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