AMANDA PROCTOR LICSW
NPI 1063908804
Social Worker - Clinical in Boston, MA

Active since July 05, 2018
105 CHAUNCY ST STE 302, BOSTON, MA 02111(617) 879-8361 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Proctor Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA PROCTOR LICSW (NPI 1063908804) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (119906) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1063908804
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA PROCTORCredential: LICSW
Location Address105 CHAUNCY ST STE 302Boston, MA 02111-1771
Mailing Address232 Mystic StArlington, MA 02474-1102 · (203) 451-5509
Sole ProprietorNo
Enumeration DateJuly 5, 2018
NPI 1063908804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 119906
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
105 CHAUNCY ST STE 302, Boston, MA 02111

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
105 CHAUNCY ST STE 302
BOSTON, MA 02111
Social Worker
105 CHAUNCY ST STE 302
BOSTON, MA 02111
Social Worker
105 CHAUNCY ST STE 302
BOSTON, MA 02111
Social Worker (Clinical)
105 CHAUNCY ST STE 302
BOSTON, MA 02111
Social Worker (Clinical)
105 CHAUNCY ST STE 302
BOSTON, MA 02111
Social Worker (Clinical)
105 CHAUNCY ST STE 302
BOSTON, MA 02111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Proctor's NPI number?

The NPI number for Amanda Proctor is 1063908804. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Amanda Proctor located?

Amanda Proctor practices at 105 Chauncy St Ste 302, Boston, MA 02111. The listed phone number is (617) 879-8361.

What is Amanda Proctor's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Amanda Proctor was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.