Active NPIIndividual providerSole proprietor

Mystala Broughton

Social Worker in Woburn, Massachusetts

NPI Number1215253265
Practice location
10J Gill St, Woburn, MA 01801-1721
Fax
—
Last updated
April 15, 2010

Mystala Broughton is a Social Worker based in Woburn, MA. Mystala Broughton practices in Woburn, MA. The NPI Number for Mystala Broughton is 1215253265 and holds a License No. 1041C0700X (MA). The current practice location address for Mystala Broughton is 10J Gill St, Woburn, MA 01801-1721 and can be reached out via phone at 781-932-2888.

Provider Profile Details

NPI Number
1215253265
Provider Name
Mystala Broughton
Provider Entity Type
Individual
Gender
Female
Address
10J Gill St, Woburn, MA 01801-1721
Phone Number
781-932-2888
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 15, 2010
Last Update Date
April 15, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
10J Gill St
Woburn, MA 01801-1721
City
Woburn
Zip
01801-1721
Phone Number
781-932-2888
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
45 Elm St
Woburn, MA 01801-1860
City
Woburn
State
MA
Zip
01801-1860

License Information

License Number
1041C0700X
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Mystala Broughton?

The NPI number of Mystala Broughton is 1215253265. It was assigned on April 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Mystala Broughton?

Mystala Broughton is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 1041C0700X.

Where does Mystala Broughton practice?

The practice location is 10J Gill St, Woburn, MA 01801-1721. The office can be reached at 781-932-2888 (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 1215253265 directly on the NPPES registry website.

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