Healthcare Provider Details

I. General information

NPI: 1457262602
Provider Name (Legal Business Name): ERIN HELENE FENYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NORTH ST
PITTSFIELD MA
01201-4124
US

IV. Provider business mailing address

33 CRANE AVE
PITTSFIELD MA
01201-1732
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2025
  • Fax: 413-447-2984
Mailing address:
  • Phone: 413-447-2025
  • Fax: 413-447-2894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW229267
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: