Active NPIIndividual providerSole proprietor

Mr. Michael Bodem, BA

Social Worker, Clinical in Acton, Massachusetts

NPI Number1376971374
Practice location
360 Massachusetts Ave, Suite 201, Acton, MA 01720-3750
Fax
—
Last updated
October 29, 2013

Michael Bodem is a Social Worker, Clinical based in Acton, MA. Michael Bodem practices in Acton, MA and has the professional credentials of BA. The NPI Number for Michael Bodem is 1376971374. The current practice location address for Michael Bodem is 360 Massachusetts Ave, Suite 201, Acton, MA 01720-3750 and can be reached out via phone at 978-460-8482.

Provider Profile Details

NPI Number
1376971374
Provider Name
Michael Bodem
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
360 Massachusetts Ave, Suite 201, Acton, MA 01720-3750
Phone Number
978-460-8482
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 29, 2013
Last Update Date
October 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 Massachusetts Ave
Suite 201
Acton, MA 01720-3750
City
Acton
Zip
01720-3750
Phone Number
978-460-8482
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
14 Deerfield RD
Wellesley, MA 02481-1213
City
Wellesley
State
MA
Zip
02481-1213
Phone Number
781-223-3315

License Information

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. Michael Bodem, BA?

The NPI number of Mr. Michael Bodem, BA is 1376971374. It was assigned on October 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael Bodem, BA?

Mr. Michael Bodem, BA is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Mr. Michael Bodem, BA practice?

The practice location is 360 Massachusetts Ave, Suite 201, Acton, MA 01720-3750. The office can be reached at 978-460-8482 (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 1376971374 directly on the NPPES registry website.

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