Healthcare Provider Details

I. General information

NPI: 1053694646
Provider Name (Legal Business Name): AMY FARNSWORTH MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY CUTLER MSW, LICSW

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MANN ST
WORCESTER MA
01602-3414
US

IV. Provider business mailing address

645 MECHANIC ST
LEOMINSTER MA
01453-4401
US

V. Phone/Fax

Practice location:
  • Phone: 978-502-5726
  • Fax:
Mailing address:
  • Phone: 978-490-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number123090
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: