Amy L Destefanis, LCSW, CCM
Social Worker, Clinical in Arlington, Massachusetts
1982304408- Practice location
- 111 Palmer St, Arlington, MA 02474-3309
- Phone
- 978-846-3419
- Fax
- —
- Last updated
- March 3, 2023
Amy Lynn Destefanis is a Social Worker, Clinical based in Arlington, MA. Amy Lynn Destefanis practices in Arlington, MA and has the professional credentials of LCSW, CCM. The NPI Number for Amy Lynn Destefanis is 1982304408 and holds a License No. 223150 (MA). The current practice location address for Amy Lynn Destefanis is 111 Palmer St, Arlington, MA 02474-3309 and can be reached out via phone at 978-846-3419.
Provider Profile Details
- NPI Number
- 1982304408
- Provider Name
- Amy Lynn Destefanis
- Credential
- LCSW, CCM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Palmer St, Arlington, MA 02474-3309
- Phone Number
- 978-846-3419
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 3, 2023
- Last Update Date
- March 3, 2023
- Certification Date
- March 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Palmer St
Arlington, MA 02474-3309 - City
- Arlington
- State
- Massachusetts
- Zip
- 02474-3309
- Phone Number
- 978-846-3419
Provider Business Mailing Address Details
- Address
- 111 Palmer St
Arlington, MA 02474-3309 - City
- Arlington
- State
- MA
- Zip
- 02474-3309
- Phone Number
- 978-846-3419
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 223150
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Amy L Destefanis, LCSW, CCM?
The NPI number of Amy L Destefanis, LCSW, CCM is 1982304408. It was assigned on March 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Amy L Destefanis, LCSW, CCM?
Amy L Destefanis, LCSW, CCM is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 223150.
Where does Amy L Destefanis, LCSW, CCM practice?
The practice location is 111 Palmer St, Arlington, MA 02474-3309. The office can be reached at 978-846-3419 (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 1982304408 directly on the NPPES registry website.