MEDICARE: NANCY J NAZAROFF LICSW MSW MED

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	1023125	MA
2	1041C0700X	Clinical Social Worker	1245	NH

General Provider Information

NPI Number	:	1760570634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY J NAZAROFF LICSW MSW MED

Provider Business Mailing Address
First Line	:	100 CUMMINGS CTR
Second Line	:	SUITE 307L
City	:	BEVERLY
State	:	MA
Zip	:	01915-6115
Country	:	US
Telephone Number	:	978-922-3301
Fax Number	:	978-927-8556

Provider Business Practice Location Address
First Line	:	100 CUMMINGS CTR
Second Line	:	SUITE 307L
City	:	BEVERLY
State	:	MA
Zip	:	01915-6115
Country	:	US
Telephone Number	:	978-922-3301
Fax Number	:	978-927-8556

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	02/22/2026

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