Verba S Fanolis, MSW LICSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

113974 Issued in MA

Practice address

1170 Carew St
Springfield, MA 01104-2055

Phone

(413) 750-2940

NPI assigned

Sep 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1619450426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951634",
            "telephone_number": "413-348-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042055",
            "telephone_number": "413-750-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANOLIS",
        "first_name": "VERBA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSW        LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "113974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David R Fanti, MD
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• Kiana Farahbod, MD
• Perry G Farb, DO
• George E. Fares, M.D

• School Social Worker in Springfield, MA
• Providers in Springfield, MA by specialty
• School Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.