Individual
AMANDA MOFFETTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
52 JOY ST APT 4, BOSTON, MA 02114-4033
(617) 453-8362
Mailing address
52 JOY ST APT 4, BOSTON, MA 02114-4033
(617) 453-8362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
111986-01
NY
1041C0700X
Clinical Social Worker
Primary
099866
NY
1041C0700X
Clinical Social Worker
LICSW1140765
MA
Other
Enumeration date
04/08/2021
Last updated
04/28/2025
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