SAMANTHA FAZIO LCSW
NPI 1619608643
Counselor - Mental Health in Bedford, MA
About Samantha Fazio Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA FAZIO LCSW (NPI 1619608643) is an individual mental health provider in Bedford, Massachusetts, licensed in Massachusetts (LCSW229923) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Fazio Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samantha Fazio's NPI number?
The NPI number for Samantha Fazio is 1619608643. It was assigned to this individual provider in the NPPES registry on June 21, 2022.
Where is Samantha Fazio located?
Samantha Fazio practices at 205 Burlington Rd, Bedford, MA 01730. The listed phone number is (781) 862-3600.
What is Samantha Fazio's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samantha Fazio enrolled in Medicare?
Yes. Samantha Fazio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Samantha Fazio was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Samantha Fazio, LCSW · NPI 1619608643
Mental Health provider in Bedford, Massachusetts. Individual provider, active in the CMS NPPES registry since June 21, 2022.
## Identity
- **NPI:** 1619608643 (Entity type: Individual)
- **Enumerated:** June 21, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCSW229923 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 BURLINGTON RD, Bedford, MA 01730-1406
- **Phone:** (781) 862-3600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 23, 2025
- **Other identifiers:** Other 1004745 (MA); Other 0000023532 (MA); Other 042611055 (MA); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1619608643) · Data from the CMS NPPES public registry.