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NPI Code Detail

MEDICARE: MRS. AMANDA MAY DICIERO LCSW

MEDICARE:  MRS. AMANDA MAY DICIERO  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
11041C0700XClinical Social Worker227942MA

General Provider Information

NPI Number : 1922791821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA MAY DICIERO LCSW
Provider Business Mailing Address
First Line : 6 LYNDE ST
Second Line :
City : SALEM
State : MA
Zip : 01970-3404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6 LYNDE ST
Second Line :
City : SALEM
State : MA
Zip : 01970-3404
Country : US
Telephone Number : 617-874-7531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2023
Last Update Date : 05/29/2023

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Directions to “ MRS. AMANDA MAY DICIERO LCSW” Practice Location

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