Provider Demographics
NPI:1235560582
Name:SEVENE, FELICIA (LICSW)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:SEVENE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 S PROSPECT ST STE 10
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2268
Mailing Address - Country:US
Mailing Address - Phone:413-687-5003
Mailing Address - Fax:
Practice Address - Street 1:26 S PROSPECT ST STE 10
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2268
Practice Address - Country:US
Practice Address - Phone:413-687-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221436104100000X
MA1232501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker