Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Lynn Destefanis, LCSW, CCM

Individual provider Clinical Social Worker · NPI 1982304408

Amy Lynn Destefanis, LCSW, CCM is a Clinical Social Worker in Arlington, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

111 Palmer St
Arlington, MA 02474-3309
Phone: (978) 846-3419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 223150 (MA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1982304408
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CCM
Sole proprietorYes
NPI enumeratedMarch 3, 2023
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023

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