Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maria Loretta Fantozzi

Individual provider Clinical Social Worker · NPI 1063181071

Maria Loretta Fantozzi is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone: (617) 414-5245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Warren St, Brighton, MA 02135-3602 — (617) 999-0513

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW1121074 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063181071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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