CHRISTINE FAY (LICSW, LADC I, CADC) – Clinical Social Worker, NPI 1235790643

CHRISTINE FAY (LICSW, LADC I, CADC) is a healthcare provider. based in Dedham, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW, LADC I, CADC. They hold a License No. 22943 (MA). The NPI Number for CHRISTINE FAY (LICSW, LADC I, CADC) is 1235790643

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE FAY (LICSW, LADC I, CADC)
NPI
1235790643
Phone
(781) 474-9423
Address
78 LINCOLN ST
Enumeration Date
26 June 2019
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812146590
Graduation Year
2022 (4 years ago)
PAC ID
9931635521
Group Practice PAC ID
6901866706
Professional Enrollment ID
I20250204000344
Address ID
MA020264530DE333XXSTXX300

Contacts

Other Endpoint
SMART
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:6State licenses:3Other namesUpdated within 12 months

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for CHRISTINE FAY (LICSW, LADC I, CADC)

  • 78, Lincoln Street, Oakdale, Dedham, Norfolk County, Massachusetts, 02026-5036, United States

    DEDHAM, MA 020263309

    Phone: (781) 474-9423

    Type: Mailing

  • 3 ALLIED DR STE 303

    DEDHAM, MA 020266148

    Phone: (617) 221-5131

    Fax: (781) 459-4698

    Type: Location

  • 23, Bradston Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    BOSTON, MA 021182703

    Phone: (617) 318-6480

    Fax: (617) 427-1263

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250204000344IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02026)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901866706View full group profile
NameSpecialtyState
Nurse PractitionerTN
Clinical Social WorkerMA
Mental Health CounselorRI
-MA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
-MA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What identifier follows CHRISTINE FAY (LICSW, LADC I, CADC) across health systems?
The NPI 1235790643 uniquely identifies CHRISTINE FAY (LICSW, LADC I, CADC) in U.S. healthcare data.
Should I treat CHRISTINE FAY (LICSW, LADC I, CADC) as an active provider?
Patients and plans typically see CHRISTINE FAY (LICSW, LADC I, CADC) as active in the national extract.
Which specialty label fits CHRISTINE FAY (LICSW, LADC I, CADC)?
NPPES ties CHRISTINE FAY (LICSW, LADC I, CADC) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is CHRISTINE FAY (LICSW, LADC I, CADC) tied to Dedham, Massachusetts?
If you are local to Dedham, Massachusetts, CHRISTINE FAY (LICSW, LADC I, CADC) may be relevant to your search.
Why is information missing for CHRISTINE FAY (LICSW, LADC I, CADC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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