Healthcare Provider Details

I. General information

NPI: 1477287076
Provider Name (Legal Business Name): GIROLAMO JOSEPH FINAZZO LCSW, LICSW, LCAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JEREMY FINAZZO

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 CONCORD AVE STE 5300
CAMBRIDGE MA
02138-1040
US

IV. Provider business mailing address

725 CONCORD AVE STE 5300
CAMBRIDGE MA
02138-1040
US

V. Phone/Fax

Practice location:
  • Phone: 617-661-6225
  • Fax:
Mailing address:
  • Phone: 781-885-5984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1140642
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP017749
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-28290
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: