Individual
AMANDA L. LITTLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5463
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112241
MA
1041C0700X
Clinical Social Worker
2626
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014261
NEIGHBORHOOD HEALTH PLAN
MA
01
—
669496
TUFTS HEALTH PLAN
MA
01
—
P08606
BLUE CROSS
MA
Enumeration date
07/26/2006
Last updated
10/17/2024
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