MEDICARE: AMY LYNN VIEIRA LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	123468	MA

General Provider Information

NPI Number	:	1578989638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LYNN VIEIRA LICSW

Provider Business Mailing Address
First Line	:	1030 PRESIDENT AVE STE 1004
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-5928
Country	:	US
Telephone Number	:	508-973-9613
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 PRESIDENT AVE STE 1004
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-5928
Country	:	US
Telephone Number	:	508-973-9613
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2014
Last Update Date	:	11/05/2025

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