Active NPIIndividual providerSole proprietor

Samantha Vaccaro, LCSW

Social Worker, Clinical in Peru, Massachusetts

NPI Number1972999514
Practice location
21 Kreutzer RD, Peru, MA 01235-9265
Fax
—
Last updated
November 15, 2023

Samantha Vaccaro is a Social Worker, Clinical based in Peru, MA. Samantha Vaccaro practices in Peru, MA and has the professional credentials of LCSW. The NPI Number for Samantha Vaccaro is 1972999514 and holds a License No. 127294 (MA). The current practice location address for Samantha Vaccaro is 21 Kreutzer RD, Peru, MA 01235-9265 and can be reached out via phone at 413-358-1099.

Provider Profile Details

NPI Number
1972999514
Provider Name
Samantha Vaccaro
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
21 Kreutzer RD, Peru, MA 01235-9265
Phone Number
413-358-1099
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2015
Last Update Date
November 15, 2023
Certification Date
November 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Kreutzer RD
Peru, MA 01235-9265
City
Peru
Zip
01235-9265
Phone Number
413-358-1099
Peru, MA 01235Get directions →

Provider Business Mailing Address Details

Address
21 Kreutzer RD
Peru, MA 01235-9265
City
Peru
State
MA
Zip
01235-9265
Phone Number
413-358-1099

License Information

License Number
127294
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 Samantha Vaccaro, LCSW?

The NPI number of Samantha Vaccaro, LCSW is 1972999514. It was assigned on April 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Samantha Vaccaro, LCSW?

Samantha Vaccaro, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 127294.

Where does Samantha Vaccaro, LCSW practice?

The practice location is 21 Kreutzer RD, Peru, MA 01235-9265. The office can be reached at 413-358-1099 (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 1972999514 directly on the NPPES registry website.

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