MEDICARE: VICTORIA RODESCHINI LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LICSW127450	MA
2	101YM0800X	Mental Health Counselor
3	104100000X	Social Worker	225929	MA

General Provider Information

NPI Number	:	1275248205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA RODESCHINI LCSW

Provider Business Mailing Address
First Line	:	2 INDIAN ROCK LN
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-2900
Country	:	US
Telephone Number	:	781-632-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ARMSTRONG RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-7219
Country	:	US
Telephone Number	:	781-632-2227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2023
Last Update Date	:	04/15/2026

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