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

Individual provider Mental Health Counselor · NPI 1619608643

Samantha Fazio, LCSW is a Clinical Social Worker in Bedford, Massachusetts. Qualified in 2023, 3 years ago. Practices with Edinburg Center Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2022
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

205 Burlington Rd
Bedford, MA 01730-1406
Phone: (781) 862-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW229923 (MA)

Record details

NPI number1619608643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Edinburg Center Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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