Active NPIIndividual providerSole proprietor

Marybeth Bronson, MSW LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1063507150
Practice location
28 Everett St # 1, Jamaica Plain, MA 02130-2858
Fax
—
Last updated
July 8, 2007

Marybeth Bronson is a Social Worker, Clinical based in Jamaica Plain, MA. Marybeth Bronson practices in Jamaica Plain, MA and has the professional credentials of MSW LICSW. The NPI Number for Marybeth Bronson is 1063507150 and holds a License No. 101997 (MA). The current practice location address for Marybeth Bronson is 28 Everett St # 1, Jamaica Plain, MA 02130-2858 and can be reached out via phone at 617-983-9844.

Provider Profile Details

NPI Number
1063507150
Provider Name
Marybeth Bronson
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
28 Everett St # 1, Jamaica Plain, MA 02130-2858
Phone Number
617-983-9844
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Everett St # 1
Jamaica Plain, MA 02130-2858
Zip
02130-2858
Phone Number
617-983-9844
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
28 Everett St # 1
Jamaica Plain, MA 02130-2858
City
Jamaica Plain
State
MA
Zip
02130-2858
Phone Number
617-983-9844

License Information

License Number
101997
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marybeth Bronson, MSW LICSW?

The NPI number of Marybeth Bronson, MSW LICSW is 1063507150. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Marybeth Bronson, MSW LICSW?

Marybeth Bronson, MSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 101997.

Where does Marybeth Bronson, MSW LICSW practice?

The practice location is 28 Everett St # 1, Jamaica Plain, MA 02130-2858. The office can be reached at 617-983-9844 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063507150 directly on the NPPES registry website.

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