Active NPIIndividual providerSole proprietor

Mr. Robert T Bruzzese, LICSW

Social Worker in Revere, Massachusetts

NPI Number1578656252
Practice location
589 Broadway, Apt. D, Revere, MA 02151
Fax
—
Last updated
July 8, 2007

Robert Thomas Bruzzese is a Social Worker based in Revere, MA. Robert Thomas Bruzzese practices in Revere, MA and has the professional credentials of LICSW. The NPI Number for Robert Thomas Bruzzese is 1578656252 and holds a License No. 101048 (MA). The current practice location address for Robert Thomas Bruzzese is 589 Broadway, Apt. D, Revere, MA 02151 and can be reached out via phone at 508-330-1053.

Provider Profile Details

NPI Number
1578656252
Provider Name
Robert Thomas Bruzzese
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
589 Broadway, Apt. D, Revere, MA 02151
Phone Number
508-330-1053
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
589 Broadway
Apt. D
Revere, MA 02151
City
Revere
Zip
02151
Phone Number
508-330-1053
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
589 Broadway
Apt. D
Revere, MA 02151
City
Revere
State
MA
Zip
02151
Phone Number
508-330-1053

License Information

License Number
101048
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 Mr. Robert T Bruzzese, LICSW?

The NPI number of Mr. Robert T Bruzzese, LICSW is 1578656252. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Robert T Bruzzese, LICSW?

Mr. Robert T Bruzzese, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 101048.

Where does Mr. Robert T Bruzzese, LICSW practice?

The practice location is 589 Broadway, Apt. D, Revere, MA 02151. The office can be reached at 508-330-1053 (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 1578656252 directly on the NPPES registry website.

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