Active NPIIndividual providerSole proprietor

Ms. Joanne G Boelke, LICSW

Social Worker, Clinical in South Egremont, Massachusetts

NPI Number1679886931
Practice location
58 Creamery RD., Joanne Boelke, South Egremont, MA 01258
Fax
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Last updated
July 15, 2010

Joanne Galatea Boelke is a Social Worker, Clinical based in South Egremont, MA. Joanne Galatea Boelke practices in South Egremont, MA and has the professional credentials of LICSW. The NPI Number for Joanne Galatea Boelke is 1679886931 and holds a License No. 000113073 (MA). The current practice location address for Joanne Galatea Boelke is 58 Creamery RD., Joanne Boelke, South Egremont, MA 01258 and can be reached out via phone at 518-965-4207.

Provider Profile Details

NPI Number
1679886931
Provider Name
Joanne Galatea Boelke
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
58 Creamery RD., Joanne Boelke, South Egremont, MA 01258
Phone Number
518-965-4207
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 15, 2010
Last Update Date
July 15, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Creamery RD.
Joanne Boelke
South Egremont, MA 01258
Zip
01258
Phone Number
518-965-4207
South Egremont, MA 01258Get directions →

Provider Business Mailing Address Details

Address
Po Box 10
South Egremont, MA 01258-0010
City
South Egremont
State
MA
Zip
01258-0010
Phone Number
518-965-4207
Fax Number
413-528-5274

License Information

License Number (1)
000113073
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
058251
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Ms. Joanne G Boelke, LICSW?

The NPI number of Ms. Joanne G Boelke, LICSW is 1679886931. It was assigned on July 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Joanne G Boelke, LICSW?

Ms. Joanne G Boelke, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000113073.

Where does Ms. Joanne G Boelke, LICSW practice?

The practice location is 58 Creamery RD., Joanne Boelke, South Egremont, MA 01258. The office can be reached at 518-965-4207 (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 1679886931 directly on the NPPES registry website.

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