Active NPIIndividual provider

Tyler Botelho, LCSW

Social Worker, Clinical in Bridgewater, Massachusetts

NPI Number1588239636
Practice location
351 Greathill Dr, Bridgewater, MA 02325-1208
Fax
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Last updated
May 21, 2021

Tyler Botelho is a Social Worker, Clinical based in Bridgewater, MA. Tyler Botelho practices in Bridgewater, MA and has the professional credentials of LCSW. The NPI Number for Tyler Botelho is 1588239636 and holds a License No. 224706 (MA). The current practice location address for Tyler Botelho is 351 Greathill Dr, Bridgewater, MA 02325-1208 and can be reached out via phone at 508-531-2567.

Provider Profile Details

NPI Number
1588239636
Provider Name
Tyler Botelho
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
351 Greathill Dr, Bridgewater, MA 02325-1208
Phone Number
508-531-2567
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2021
Last Update Date
May 21, 2021
Certification Date
May 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
351 Greathill Dr
Bridgewater, MA 02325-1208
Zip
02325-1208
Phone Number
508-531-2567
Bridgewater, MA 02325Get directions →

Provider Business Mailing Address Details

Address
351 Greathill Dr
Bridgewater, MA 02325-1208
City
Bridgewater
State
MA
Zip
02325-1208
Phone Number
508-531-2567

License Information

License Number
224706
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 Tyler Botelho, LCSW?

The NPI number of Tyler Botelho, LCSW is 1588239636. It was assigned on May 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Tyler Botelho, LCSW?

Tyler Botelho, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 224706.

Where does Tyler Botelho, LCSW practice?

The practice location is 351 Greathill Dr, Bridgewater, MA 02325-1208. The office can be reached at 508-531-2567 (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 1588239636 directly on the NPPES registry website.

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