Active NPIIndividual providerSole proprietor

Ms. Judith D Bralove, MSW, LICSW

Social Worker, Clinical in Fitchburg, Massachusetts

NPI Number1366513525
Practice location
76 Summer St, Suite #145, Fitchburg, MA 01420-5783
Fax
978-343-9408
Last updated
July 8, 2007

Judith D. Bralove is a Social Worker, Clinical based in Fitchburg, MA. Judith D. Bralove practices in Fitchburg, MA and has the professional credentials of MSW, LICSW. The NPI Number for Judith D. Bralove is 1366513525 and holds a License No. 104615 (MA). The current practice location address for Judith D. Bralove is 76 Summer St, Suite #145, Fitchburg, MA 01420-5783 and can be reached out via phone at 978-342-8280 and via fax at 978-343-9408.

Provider Profile Details

NPI Number
1366513525
Provider Name
Judith D. Bralove
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
76 Summer St, Suite #145, Fitchburg, MA 01420-5783
Phone Number
978-342-8280
Fax Number
978-343-9408
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 10, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Summer St
Suite #145
Fitchburg, MA 01420-5783
Zip
01420-5783
Phone Number
978-342-8280
Fax Number
978-343-9408
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
76 Summer St
Suite #145
Fitchburg, MA 01420-5783
City
Fitchburg
State
MA
Zip
01420-5783
Phone Number
978-342-8280
Fax Number
978-343-9408

License Information

License Number
104615
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 Ms. Judith D Bralove, MSW, LICSW?

The NPI number of Ms. Judith D Bralove, MSW, LICSW is 1366513525. It was assigned on November 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Judith D Bralove, MSW, LICSW?

Ms. Judith D Bralove, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 104615.

Where does Ms. Judith D Bralove, MSW, LICSW practice?

The practice location is 76 Summer St, Suite #145, Fitchburg, MA 01420-5783. The office can be reached at 978-342-8280 (phone) or 978-343-9408 (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 1366513525 directly on the NPPES registry website.

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