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NPI Code Detail

MEDICARE: AMY S GEELEHER LICSW

MEDICARE:   AMY S GEELEHER  LICSW
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
11041C0700XClinical Social Worker118945MA

General Provider Information

NPI Number : 1396088670
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY S GEELEHER LICSW
Provider Business Mailing Address
First Line : 421 N MAIN ST
Second Line :
City : LEEDS
State : MA
Zip : 01053-9764
Country : US
Telephone Number : 413-584-4040
Fax Number :
Provider Business Practice Location Address
First Line : 421 N MAIN ST
Second Line :
City : LEEDS
State : MA
Zip : 01053-9764
Country : US
Telephone Number : 413-584-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 12/08/2025

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Directions to “ AMY S GEELEHER LICSW” Practice Location

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