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MRS. AMANDA THERESA DAFOE LICSW
NPI 1275602468
Social Worker - Clinical in Northborough, MA

Active since November 06, 2006Opted out of Medicare · through Nov 24, 2027
300 W MAIN ST BLDG A, NORTHBOROUGH, MA 01532(508) 392-5884(508) 213-3561 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Amanda Theresa Dafoe Licsw NPPES

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

MRS. AMANDA THERESA DAFOE LICSW (NPI 1275602468) is an individual clinical provider in Northborough, Massachusetts, licensed in Massachusetts (118068) and active in the NPI registry since November 2006. She has opted out of Medicare through November 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275602468
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. AMANDA THERESA DAFOECredential: LICSW
Location Address300 W MAIN ST BLDG ANorthborough, MA 01532
Mailing Address300 W Main St Bldg ANorthborough, MA 01532-2132 · (508) 392-5884 · Fax (508) 213-3561
Phone(508) 392-5884
Fax(508) 213-3561
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateMay 20, 2019
✔ NPI 1275602468 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 · 118068
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.
300 W MAIN ST BLDG A, Northborough, MA 01532
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Amanda Theresa Dafoe Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 24, 2019 through November 24, 2027.

Opt-Out Effective DateNovember 24, 2019
Opt-Out In Effect ThroughNovember 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dafoe's NPI number?

The NPI number for Amanda Dafoe is 1275602468. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Amanda Dafoe located?

Amanda Dafoe practices at 300 W Main St Bldg A, Northborough, MA 01532. The listed phone number is (508) 392-5884.

What is Amanda Dafoe's specialty?

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

Is Amanda Dafoe enrolled in Medicare?

No. Amanda Dafoe has opted out of Medicare through November 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Amanda Dafoe accept?

Health plans from Anthem Blue Cross and Blue Shield list Amanda Dafoe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Dafoe was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.