Active NPIIndividual providerSole proprietor

Laurie Bomba, MSW

Social Worker, Clinical in Shelburne, Vermont

NPI Number1144094160
Practice location
5138 Shelburne RD, Shelburne, VT 05482-6698
Fax
802-347-6112
Last updated
November 9, 2023

Laurie Bomba is a Social Worker, Clinical based in Shelburne, VT. Laurie Bomba practices in Shelburne, VT and has the professional credentials of MSW. The NPI Number for Laurie Bomba is 1144094160 and holds a License No. 097.0135645 (VT). The current practice location address for Laurie Bomba is 5138 Shelburne RD, Shelburne, VT 05482-6698 and can be reached out via phone at 802-865-3450 and via fax at 802-347-6112.

Provider Profile Details

NPI Number
1144094160
Provider Name
Laurie Bomba
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
5138 Shelburne RD, Shelburne, VT 05482-6698
Phone Number
802-865-3450
Fax Number
802-347-6112
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 9, 2023
Last Update Date
November 9, 2023
Certification Date
November 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5138 Shelburne RD
Shelburne, VT 05482-6698
State
Vermont
Zip
05482-6698
Phone Number
802-865-3450
Fax Number
802-347-6112
Shelburne, VT 05482Get directions →

Provider Business Mailing Address Details

Address
86 Lake St
Burlington, VT 05401-5297
City
Burlington
State
VT
Zip
05401-5297
Phone Number
802-865-3450

License Information

License Number
097.0135645
License State
VT
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 Laurie Bomba, MSW?

The NPI number of Laurie Bomba, MSW is 1144094160. It was assigned on November 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Laurie Bomba, MSW?

Laurie Bomba, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 097.0135645.

Where does Laurie Bomba, MSW practice?

The practice location is 5138 Shelburne RD, Shelburne, VT 05482-6698. The office can be reached at 802-865-3450 (phone) or 802-347-6112 (fax).

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 1144094160 directly on the NPPES registry website.

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