Active NPI
Amy B Fitzgibbon, LICSW
- School Counselor
- Marlborough, MA
National Provider Identifier
1760037998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 110236-SW-LICSW
- Practice address
- 444 Hosmer St
Marlborough, MA 01752-1434 - Phone
- (508) 460-3506
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 110236-SW-LICSW | MA | Primary |
Addresses
Primary practice location
444 Hosmer St
Marlborough, MA 01752-1434
Mailing address
59A Fisher St
Westborough, MA 01581-1806
Phone (508) 836-4044
Other names 1
- Amy Blanchette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110236-SW-LICSW | MA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1760037998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59A FISHER ST",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811806",
"telephone_number": "508-836-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 HOSMER ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521434",
"telephone_number": "508-460-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBON",
"first_name": "AMY",
"middle_name": "B",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "110236-SW-LICSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "BLANCHETTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.