Provider Demographics
NPI:1649647165
Name:CATALDO, AMANDA STEPHANIE ZENGA (LICSW)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:STEPHANIE ZENGA
Last Name:CATALDO
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 1:500 W CUMMINGS PARK STE 2900
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6544
Mailing Address - Country:US
Mailing Address - Phone:781-281-8095
Mailing Address - Fax:
Practice Address - Street 1:500 W CUMMINGS PARK STE 2900
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6544
Practice Address - Country:US
Practice Address - Phone:781-281-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health