Active NPIIndividual providerSole proprietor

Sandra G Bothwick, LICSW

Social Worker, Clinical in Agawam, Massachusetts

NPI Number1225089212
Practice location
540 Meadow Street Ext, Suite 101, Agawam, MA 01001-2035
Fax
—
Last updated
September 8, 2008

Sandra G Bothwick is a Social Worker, Clinical based in Agawam, MA. Sandra G Bothwick practices in Agawam, MA and has the professional credentials of LICSW. The NPI Number for Sandra G Bothwick is 1225089212 and holds a License No. 1029843 (MA). The current practice location address for Sandra G Bothwick is 540 Meadow Street Ext, Suite 101, Agawam, MA 01001-2035 and can be reached out via phone at 413-789-7455.

Provider Profile Details

NPI Number
1225089212
Provider Name
Sandra G Bothwick
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
540 Meadow Street Ext, Suite 101, Agawam, MA 01001-2035
Phone Number
413-789-7455
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 14, 2006
Last Update Date
September 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
540 Meadow Street Ext
Suite 101
Agawam, MA 01001-2035
City
Agawam
Zip
01001-2035
Phone Number
413-789-7455
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
1035 Sumner Ave
Springfield, MA 01118-2147
City
Springfield
State
MA
Zip
01118-2147
Phone Number
413-734-3154

License Information

License Number
1029843
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 Sandra G Bothwick, LICSW?

The NPI number of Sandra G Bothwick, LICSW is 1225089212. It was assigned on May 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Sandra G Bothwick, LICSW?

Sandra G Bothwick, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1029843.

Where does Sandra G Bothwick, LICSW practice?

The practice location is 540 Meadow Street Ext, Suite 101, Agawam, MA 01001-2035. The office can be reached at 413-789-7455 (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 1225089212 directly on the NPPES registry website.

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