Individual provider · Type 1 NPI

Amanda Destefano Fenton, LICSW, MSW

Clinical Social Worker · Arlington, MA

NPI number 1114241627 Active

Practice location

366 Massachusetts Ave, Suite 303
Arlington, MA 02474-6733

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X115429 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114241627

Amanda Destefano Fenton, LICSW, MSW's National Provider Identifier is 1114241627, issued on Mar 26, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Arlington, MA. The record was last updated on Nov 5, 2012.