Active NPI
Amy Doolin Brunaccini, LICSW
- Clinical Social Worker
- Chelmsford, MA
National Provider Identifier
1386682151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110654
- Practice address
- 6 Courthouse Lane
Unit 9 Door B
Chelmsford, MA 01824 - Phone
- (978) 835-6622
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110654 | MA | Primary |
Addresses
Primary practice location
6 Courthouse Lane
Unit 9 Door B
Chelmsford, MA 01824
Mailing address
57 Chamberlain Rd
Westford, MA 01886-2004
Phone (978) 692-9855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 3, 2025 through Aug 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110654 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1386682151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 CHAMBERLAIN RD",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018862004",
"telephone_number": "978-692-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 COURTHOUSE LANE",
"address_2": "UNIT 9 DOOR B",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "01824",
"telephone_number": "978-835-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNACCINI",
"first_name": "AMY",
"middle_name": "DOOLIN",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.