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NPI Code Detail

MEDICARE: AMANDA FRANCES WASHINGTON MSW, LCSW

MEDICARE: AMANDA FRANCES WASHINGTON MSW, 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
1104100000XSocial WorkerLCSW2142642MA

General Provider Information

NPI Number : 1508714940
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA FRANCES WASHINGTON MSW, LCSW
Provider Business Mailing Address
First Line : 64 ELDREDGE ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-2017
Country : US
Telephone Number : 617-969-4925
Fax Number : 617-244-2507
Provider Business Practice Location Address
First Line : 64 ELDREDGE ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-2017
Country : US
Telephone Number : 617-969-4925
Fax Number : 617-244-2507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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