Provider Demographics
NPI:1720574502
Name:REFFSIN, NANCY GALE ((MA) LICSW, LCSW-(NY)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:GALE
Last Name:REFFSIN
Suffix:
Gender:F
Credentials:(MA) LICSW, LCSW-(NY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 N. WHITNEY ST AMHERST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1816
Mailing Address - Country:US
Mailing Address - Phone:413-253-3592
Mailing Address - Fax:
Practice Address - Street 1:117 N WHITNEY ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1816
Practice Address - Country:US
Practice Address - Phone:413-253-3592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076012-11041C0700X
MA1055331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical