Individual provider · Type 1 NPI

Amanda Moffettone, LCSW, LICSW

Clinical Social Worker · Boston, MA

NPI number 1609455336 Active

Practice location

52 Joy St Apt 4
Boston, MA 02114-4033

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X099866 (NY)
Clinical Social Worker 1041C0700XLICSW1140765 (MA)
Social Worker 104100000X111986-01 (NY)

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 1609455336

Amanda Moffettone, LCSW, LICSW's National Provider Identifier is 1609455336, issued on Apr 8, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Apr 28, 2025.