Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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MS. Fay Lucille Champoux, LICSW

Individual provider Clinical Social Worker · NPI 1326394750

MS. Fay Lucille Champoux, LICSW is a Clinical Social Worker in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1415 Beacon St Boston Institute For Psychotherapy Ste 120
Brookline, MA 02446 Not confirmed with CMS for 14 years — call before visiting
Phone: (617) 566-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 111365 (MA)

Record details

NPI number1326394750
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 3, 2012
Last updated in NPPESAugust 20, 2012

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