IndividualActive
Amy Kavadlo, LICSW
NPI 1629054002 · Social Worker · Randolph, MA
Provider details
- NPI number
- 1629054002
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 104863 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1093 N Main St
Randolph, MA 02368-2100
Phone: (781) 963-7775
Fax: (781) 963-7776
Approximate (ZIP-level) locationGet directions
Mailing address
1093 N Main St
Randolph, MA 02368-2100
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2012-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.