Individual provider · Type 1 NPI

Samantha Fazio, LCSW

Mental Health Counselor · Bedford, MA

NPI number 1619608643 Active

Practice location

205 Burlington Rd
Bedford, MA 01730-1406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW229923 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1619608643

Samantha Fazio, LCSW's National Provider Identifier is 1619608643, issued on Jun 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bedford, MA. The record was last updated on Dec 23, 2025.