Melissa Mary Moriarty Fazio, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114185 Issued in MA

Practice address

203 Locust St
Danvers, MA 01923-1661

Phone

(978) 304-0426

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1649497520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LOCUST ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231661",
            "telephone_number": "978-304-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LOCUST ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231661",
            "telephone_number": "978-304-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "MELISSA",
        "middle_name": "MARY MORIARTY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071912",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrian Elizabeth Farnsworth, MSSP
• Jennifer Farrington, B.A
• Thomas Camp Faulds, MSPT, ATC
• Cory Favalora
• Naief Terry Fayad, DMD
• Lisa Marie Federico
• Lauren Fedorchak
• Abigail Mary Feener
• Beverly Feldman
• Galina Feldman, D.O

• Clinical Social Worker in Danvers, MA
• Providers in Danvers, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.