Active NPIIndividual provider

Amanda Welty, LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1790390771
Practice location
157 Green St, Jamaica Plain, MA 02130-2667
Fax
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Last updated
December 18, 2024

Amanda Welty is a Social Worker, Clinical based in Jamaica Plain, MA. Amanda Welty practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Amanda Welty is 1790390771 and holds a License No. 128246 (MA). The current practice location address for Amanda Welty is 157 Green St, Jamaica Plain, MA 02130-2667 and can be reached out via phone at 617-309-0137.

Provider Profile Details

NPI Number
1790390771
Provider Name
Amanda Welty
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
157 Green St, Jamaica Plain, MA 02130-2667
Phone Number
617-309-0137
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 15, 2020
Last Update Date
December 18, 2024
Certification Date
December 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
157 Green St
Jamaica Plain, MA 02130-2667
Zip
02130-2667
Phone Number
617-309-0137
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
289 Walk Hill St Unit 301
Roslindale, MA 02131-3254
City
Roslindale
State
MA
Zip
02131-3254
Phone Number
719-229-4870

License Information

License Number
128246
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 Welty, LICSW?

The NPI number of Amanda Welty, LICSW is 1790390771. It was assigned on September 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda Welty, LICSW?

Amanda Welty, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 128246.

Where does Amanda Welty, LICSW practice?

The practice location is 157 Green St, Jamaica Plain, MA 02130-2667. The office can be reached at 617-309-0137 (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 1790390771 directly on the NPPES registry website.

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