MRS. AMANDA THERESA DAFOE (NPI# 1275602468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275602468 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA THERESA DAFOE |
| Credential | LICSW |
| Practice Address |
300 W Main St Bldg A Northborough MA 01532 |
| Mailing Address |
300 W Main St Bldg A Northborough MA 01532-2132 |
| Practice Telephone | 5083925884 |
| Practice Fax Number | 5082133561 |
| Mailing Telephone | 5083925884 |
| Mailing Fax Number | 5082133561 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
118068 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 Jaques Ave, Worcester, MA 016102476 | 5088601000 |
| Street Address |
300 W MAIN ST BLDG A |
| City | NORTHBOROUGH |
| State | MA |
| Zip Code | 01532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073152153 | Authentic Wellness Therapy LLC | Clinic/Center | Authentic Wellness Therapy LLC, 300 West Main Street, Building B, Northborough, MA 01532 | 2020-01-06 |
| 1396225819 | Shannon Furgal | Behavior Technician | 359 Whitney St, Northborough, MA 01532 | 2018-08-14 |
| 1487145926 | Jonathan Ye | Dentist | 448 Howard St, Northborough, MA 01532 | 2018-05-21 |
| 1205219441 | Nuch of Massachusetts, LLC | Clinic/Center | 10002 Shops Way, Suite A, Northborough, MA 01532 | 2015-07-07 |
| 1164775243 | Christine B Chapman | Nurse Practitioner | 10002 Shops Way Ste A, Northborough, MA 01532 | 2012-10-26 |
| 1013269927 | Lindsay Brady | Social Worker | 295 Crawford St., Northborough, MA 01532 | 2012-10-03 |
| 1366763047 | Christine Rodriguez | Counselor | 20 Main Street, Northborough, MA 01532 | 2010-06-17 |
| 1417189432 | Deborah Anne Carter | Social Worker | 130 Main St., Bldg. 2 Suite F, Northborough, MA 01532 | 2009-08-10 |
| 1780802561 | Department of Mental Health | Case Management | 40 Institute Rd, Oaks B Bldg, Southbridge - Milford Cm, No Grafton, MA 01532 | 2007-04-24 |
| 1285787747 | Karen Leigh Lilley | Counselor | 21 Southwest Cutoff, Northborough, MA 01532 | 2007-01-19 |
| Find all providers in zip 01532 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499615 | Christine Gough Gagne | Social Worker | 33 Sunset Dr, Northborough, MA 01532-2317 | 2018-08-30 |
| 1154781995 | Anna Munro | Social Worker | 130 Main St Ste 2d, Northborough, MA 01532-1985 | 2016-03-04 |
| 1346610698 | Lissette Soto | Social Worker | 44 Reservoir St, Northborough, MA 01532-1215 | 2015-09-29 |
| 1013269927 | Lindsay Brady | Social Worker | 295 Crawford St., Northborough, MA 01532 | 2012-10-03 |
| 1992064885 | Jonas B Goldenberg | Social Worker | 262 Davis St, Northborough, MA 01532-2424 | 2012-05-11 |
| 1255626917 | Julia Baker | Social Worker | 300 W Main St Ste A4, Northborough, MA 01532-2132 | 2011-06-10 |
| 1083921522 | Sarah Hamelin | Social Worker | 130 Main Street, Bldg 2, Suite F, Suite 113, Northborough, MA 01532-2132 | 2010-09-03 |
| 1417189432 | Deborah Anne Carter | Social Worker | 130 Main St., Bldg. 2 Suite F, Northborough, MA 01532 | 2009-08-10 |
| 1780736074 | Bethany S Hadley | Social Worker | 21 Sw Cutoff, Northborough, MA 01532-2135 | 2007-01-17 |
| 1285726125 | Carrie Ann Buda | Social Worker | 227 Davis St, Northborough, MA 01532-2242 | 2006-09-29 |
| Find all providers in NORTHBOROUGH | ||||
| City | NORTHBOROUGH |
| Zip Code | 01532 |
Please comment or provide details below to improve the information on MRS. AMANDA THERESA DAFOE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.