Healthcare Provider Details

I. General information

NPI: 1740106582
Provider Name (Legal Business Name): NADIA A ASONGANYI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DEAD EYE RUN # 100
SWAMPSCOTT MA
01907-1235
US

IV. Provider business mailing address

10 DEAD EYE RUN # 100
SWAMPSCOTT MA
01907-1235
US

V. Phone/Fax

Practice location:
  • Phone: 781-780-1663
  • Fax: 781-780-1663
Mailing address:
  • Phone: 781-780-1663
  • Fax: 781-780-1663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: