Healthcare Provider Details

I. General information

NPI: 1447125257
Provider Name (Legal Business Name): KRISTYN E LATTANZI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ELM ST
GREENFIELD MA
01301-2211
US

IV. Provider business mailing address

222 N EAST ST APT 5
AMHERST MA
01002-1603
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-4014
  • Fax:
Mailing address:
  • Phone: 413-244-8870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW229352
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: