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NPI Code Detail

MEDICARE: NICHOLAS A FLEISHER LICSW

MEDICARE: NICHOLAS A FLEISHER 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 Worker103059MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103059OTHERMALICSW LICENSE

General Provider Information

NPI Number : 1699843854
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS A FLEISHER LICSW
Provider Business Mailing Address
First Line : 103 MASSASOIT ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-2017
Country : US
Telephone Number : 413-586-5435
Fax Number :
Provider Business Practice Location Address
First Line : 215 SHELBURNE RD
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-9622
Country : US
Telephone Number : 413-774-1000
Fax Number : 413-774-1197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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1902971856 — MARK PARTYKA LMHC
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1780752931 — DARRELL BROWN MHC
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1841352341 — RICHARD J ZALOWSKI PHD
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1467514877 — JOANNE M RYAN LADC1
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Directions to “ NICHOLAS A FLEISHER LICSW” Practice Location

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