Active NPIIndividual providerSole proprietor

Amy K Bolinder, LICSW

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1649442518
Practice location
18 Newton St, Brockton, MA 02301-5115
Fax
508-583-3775
Last updated
September 24, 2019

Amy Karen Bolinder is a Social Worker, Clinical based in Brockton, MA. Amy Karen Bolinder practices in Brockton, MA and has the professional credentials of LICSW. The NPI Number for Amy Karen Bolinder is 1649442518 and holds a License No. 114427 (MA). The current practice location address for Amy Karen Bolinder is 18 Newton St, Brockton, MA 02301-5115 and can be reached out via phone at 508-583-6498 and via fax at 508-583-3775.

Provider Profile Details

NPI Number
1649442518
Provider Name
Amy Karen Bolinder
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
18 Newton St, Brockton, MA 02301-5115
Phone Number
508-583-6498
Fax Number
508-583-3775
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2008
Last Update Date
September 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Newton St
Brockton, MA 02301-5115
Zip
02301-5115
Phone Number
508-583-6498
Fax Number
508-583-3775
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
22 Lila RD
Jamaica Plain, MA 02130-3421
City
Jamaica Plain
State
MA
Zip
02130-3421
Phone Number
508-801-3588

License Information

License Number
114427
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 Amy K Bolinder, LICSW?

The NPI number of Amy K Bolinder, LICSW is 1649442518. It was assigned on March 31, 2008 and is currently active in the NPPES registry.

What is the specialty of Amy K Bolinder, LICSW?

Amy K Bolinder, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114427.

Where does Amy K Bolinder, LICSW practice?

The practice location is 18 Newton St, Brockton, MA 02301-5115. The office can be reached at 508-583-6498 (phone) or 508-583-3775 (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 1649442518 directly on the NPPES registry website.

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