Active NPIIndividual providerSole proprietor

Mindy R Grodofsky-Gilmore

Social Worker, Clinical in Canton, Massachusetts

NPI Number1669570701
Practice location
275 Turnpike St, Suite 105, Canton, MA 02021-2357
Fax
781-821-1743
Last updated
July 8, 2007

Mindy R Grodofsky-Gilmore is a Social Worker, Clinical based in Canton, MA. Mindy R Grodofsky-Gilmore practices in Canton, MA. The NPI Number for Mindy R Grodofsky-Gilmore is 1669570701 and holds a License No. 105944 (MA). The current practice location address for Mindy R Grodofsky-Gilmore is 275 Turnpike St, Suite 105, Canton, MA 02021-2357 and can be reached out via phone at 781-821-1626 and via fax at 781-821-1743.

Provider Profile Details

NPI Number
1669570701
Provider Name
Mindy R Grodofsky-Gilmore
Provider Entity Type
Individual
Gender
Female
Address
275 Turnpike St, Suite 105, Canton, MA 02021-2357
Phone Number
781-821-1626
Fax Number
781-821-1743
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Turnpike St
Suite 105
Canton, MA 02021-2357
City
Canton
Zip
02021-2357
Phone Number
781-821-1626
Fax Number
781-821-1743
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
275 Turnpike St
Suite 105
Canton, MA 02021-2357
City
Canton
State
MA
Zip
02021-2357
Phone Number
781-821-1626
Fax Number
781-821-1743

License Information

License Number
105944
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 Mindy R Grodofsky-Gilmore?

The NPI number of Mindy R Grodofsky-Gilmore is 1669570701. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Mindy R Grodofsky-Gilmore?

Mindy R Grodofsky-Gilmore is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105944.

Where does Mindy R Grodofsky-Gilmore practice?

The practice location is 275 Turnpike St, Suite 105, Canton, MA 02021-2357. The office can be reached at 781-821-1626 (phone) or 781-821-1743 (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 1669570701 directly on the NPPES registry website.

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