Active NPIIndividual providerSole proprietor

Elizabeth P Bohan, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1376221242
Practice location
300 Winthrop St, Medford, MA 02155-2311
Fax
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Last updated
January 17, 2025

Elizabeth P Bohan is a Social Worker, Clinical based in Medford, MA. Elizabeth P Bohan practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Elizabeth P Bohan is 1376221242 and holds a License No. LICSW128244 (MA). The current practice location address for Elizabeth P Bohan is 300 Winthrop St, Medford, MA 02155-2311 and can be reached out via phone at 617-699-1887.

Provider Profile Details

NPI Number
1376221242
Provider Name
Elizabeth P Bohan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
300 Winthrop St, Medford, MA 02155-2311
Phone Number
617-699-1887
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2023
Last Update Date
January 17, 2025
Certification Date
January 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Winthrop St
Medford, MA 02155-2311
Zip
02155-2311
Phone Number
617-699-1887
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
300 Winthrop St
Medford, MA 02155-2311
City
Medford
State
MA
Zip
02155-2311
Phone Number
617-699-1887

License Information

License Number (1)
LICSW128244
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Elizabeth P Bohan, LICSW?

The NPI number of Elizabeth P Bohan, LICSW is 1376221242. It was assigned on July 10, 2023 and is currently active in the NPPES registry.

What is the specialty of Elizabeth P Bohan, LICSW?

Elizabeth P Bohan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW128244.

Where does Elizabeth P Bohan, LICSW practice?

The practice location is 300 Winthrop St, Medford, MA 02155-2311. The office can be reached at 617-699-1887 (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 1376221242 directly on the NPPES registry website.

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