Healthcare Provider Details

I. General information

NPI: 1437553765
Provider Name (Legal Business Name): BRITTANIE JEMES MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. BRITTANIE TARCZYNSKI

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 04/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 WEST ST STE 3
AMHERST MA
01002-2900
US

IV. Provider business mailing address

447 WEST ST STE 3
AMHERST MA
01002-2900
US

V. Phone/Fax

Practice location:
  • Phone: 413-253-2893
  • Fax: 413-253-2894
Mailing address:
  • Phone: 413-253-2893
  • Fax: 413-774-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number220101
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: