Dawn Amram, LCSW, LICSW

Individual provider Active NPI Clinical Social Worker · Wrentham, MA

NPI 1013690932 · NPPES record last updated Sep 16, 2025

Key facts

NPI
1013690932
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LICSW1141750 (MA)
Practice address
60 Ledgeview Way Apt 3101
Wrentham, MA 02093-1929
Phone
(909) 489-7698
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
15462CTMDClinical Social Worker
LICSW1141750MAMDClinical Social Worker
7111CTMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Initia Counseling, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1141750 MA Yes
Clinical Social Worker 1041C0700X 15462 CT

Addresses

Primary practice location

60 Ledgeview Way Apt 3101
Wrentham, MA 02093-1929

Mailing address

60 Ledgeview Way Apt 3101
Wrentham, MA 02093-1929
Phone (909) 489-7698

Other practice location 1

50 Depot St
Collinsville, CT 06019-4114
Phone (518) 500-4599 ext. 04599

Other providers in Wrentham, MA

All providers in Wrentham, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.