Healthcare Provider Details

I. General information

NPI: 1255780482
Provider Name (Legal Business Name): FEBE SIMONE DANCIER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FEBE SIMONE DANCIER LICSW

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 DEARBORN AVENUE
BEVERLY MA
01915-3408
US

IV. Provider business mailing address

14 DEARBORN AVENUE
BEVERLY MA
01915-3408
US

V. Phone/Fax

Practice location:
  • Phone: 978-228-9200
  • Fax: 508-634-6984
Mailing address:
  • Phone: 978-228-9200
  • Fax: 508-634-6984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number127893
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: