Healthcare Provider Details

I. General information

NPI: 1902417181
Provider Name (Legal Business Name): ANGELICA FRANCESCA EMERY-FERTITTA MSW, LICSW, TCTSY-F
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 10/14/2026
Certification Date: 10/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 N MAIN ST # 8
SHARON MA
02067-1203
US

IV. Provider business mailing address

15 FRANCIS RD
SHARON MA
02067-1831
US

V. Phone/Fax

Practice location:
  • Phone: 508-964-0172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW127554
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: