Active NPIIndividual provider

Mr. Dominic Boudini, LICSW

Social Worker, Clinical in Pittsfield, Massachusetts

NPI Number1194292326
Practice location
Berkshire Medical Center Jones III, 777 North Street, Pittsfield, MA 01201
Fax
—
Last updated
October 25, 2018

Dominic Boudini is a Social Worker, Clinical based in Pittsfield, MA. Dominic Boudini practices in Pittsfield, MA and has the professional credentials of LICSW. The NPI Number for Dominic Boudini is 1194292326 and holds a License No. 107228 (MA). The current practice location address for Dominic Boudini is Berkshire Medical Center Jones III, 777 North Street, Pittsfield, MA 01201 and can be reached out via phone at 413-447-2474.

Provider Profile Details

NPI Number
1194292326
Provider Name
Dominic Boudini
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
Berkshire Medical Center Jones III, 777 North Street, Pittsfield, MA 01201
Phone Number
413-447-2474
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2018
Last Update Date
October 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
Berkshire Medical Center Jones III
777 North Street
Pittsfield, MA 01201
Zip
01201
Phone Number
413-447-2474
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
Berkshire Medical Center Jones III
777 North Street
Pittsfield, MA 01201
City
Pittsfield
State
MA
Zip
01201
Phone Number
413-447-2474

License Information

License Number
107228
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 Mr. Dominic Boudini, LICSW?

The NPI number of Mr. Dominic Boudini, LICSW is 1194292326. It was assigned on October 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Dominic Boudini, LICSW?

Mr. Dominic Boudini, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 107228.

Where does Mr. Dominic Boudini, LICSW practice?

The practice location is Berkshire Medical Center Jones III, 777 North Street, Pittsfield, MA 01201. The office can be reached at 413-447-2474 (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 1194292326 directly on the NPPES registry website.

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