Provider Demographics
NPI:1992169775
Name:FRATTO, AMY (LICSW)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:FRATTO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WHARTON PARK
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2023
Mailing Address - Country:US
Mailing Address - Phone:781-254-0723
Mailing Address - Fax:
Practice Address - Street 1:17 WHARTON PARK
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2023
Practice Address - Country:US
Practice Address - Phone:781-254-0723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1184001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical