Nathan Fanton, LICSW
Individual provider Active NPI Clinical Social Worker · Manchester, MA
NPI 1376186353 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1376186353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LICSW1121303 (MA)
- Practice address
- 76 Summer St FL 2
Manchester, MA 01944-1530 - Phone
- (978) 915-2520
- Fax
- (978) 915-2521
- NPI assigned
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
76 Summer St
FL 2
Manchester, MA 01944-1530
Phone (978) 915-2520
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313002055 | MA | Practitioner - Clinical Social Worker | 5799207205 | Practice locations: Manchester, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW1121303 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fanton Consulting, Inc. | Clinical | Current |
Accepting new patients |
| Boston Psychotherapy & Counseling Services Inc | Social Worker | Current | Accepting new patients |
Locations
90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889
90 Canal St
Ste 459
Boston, MA 02114
Phone (617) 520-4783
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW1121303 | MA | Yes |
Addresses
Primary practice location
76 Summer St FL 2
Manchester, MA 01944-1530
Mailing address
PO Box 173
Manchester, MA 01944-0173
Phone (978) 915-2520
Other providers in Manchester, MA
- Elizabeth Paige Donohoe
- Kate Donovan
- Maureen Moran Dwinell
- Denise Dwyer
- Laura S Eurich
- Dawn Filias
- Megan Michelle Frazee
- Peter B Germond
- Alexandra Gilbert
- Stephanie Marion Greenough
All providers in Manchester, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.