Fran Farnsworth, LICSW

Individual provider Active NPI Clinical Social Worker · Brewster, MA

NPI 1730101080 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1730101080
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1016702 (MA)
Practice address
11 Bay State CT
Brewster, MA 02631-2120
Phone
(617) 847-1950
Fax
(617) 774-1490
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
1016702MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. Past
since Apr 1, 2009
Accepting new patients
South Shore Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1016702 MA Yes

Addresses

Primary practice location

11 Bay State CT
Brewster, MA 02631-2120

Mailing address

11 Bay State CT
Brewster, MA 02631-2120
Phone (617) 847-1950

Other identifiers

IdentifierTypeStateIssuer
334626OtherMHN/TRICARE
P04884OtherMABLUE CROSS

Other names

  • Fran Guttmann Former name

Other providers in Brewster, MA

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

Sources for this page

Verify at the official NPI Registry.