Individual provider · Type 1 NPI

Stephen Fanolis

Clinical Social Worker · West Springfield, MA

NPI number 1548520604 Active

Practice location

117 Park Ave Ste 205
West Springfield, MA 01089-3371

Mailing address

117 Park Ave
West Springfield, MA 01089-3326

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1548520604

Stephen Fanolis's National Provider Identifier is 1548520604, issued on May 23, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Springfield, MA. The record was last updated on Jun 24, 2026.