Doctor Name: | MS. AMY L. VENEZIA |
NPI Number: | 1194855122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110952 |
Business Practice Address: | 69 Alleghany St Roxbury Crossing, MA - 021203336 |
Business Phone Number: | 6175244620 |
Business Fax Number: | 6179831658 |
Mailing Address: | 16 Yale Ave, WAKEFIELD |
State: | MA |
Postal Code: | 018802309 |
Phone Number: | 6179216423 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |