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

Nathan Fanton, LICSW

Individual provider Clinical Social Worker · NPI 1376186353

Nathan Fanton, LICSW is a Clinical Social Worker in Manchester, Massachusetts. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

76 Summer St Fl 2
Manchester, MA 01944-1530
Phone: (978) 915-2520
Fax: (978) 915-2521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW1121303 (MA)

Record details

NPI number1376186353
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 23, 2019
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 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

Other providers in Manchester