Active NPIIndividual provider

Nicole Bodenrader

Social Worker, Clinical in East Walpole, Massachusetts

NPI Number1760957419
Practice location
625 Washington St, East Walpole, MA 02032-1338
Fax
—
Last updated
October 9, 2018

Nicole Bodenrader is a Social Worker, Clinical based in East Walpole, MA. Nicole Bodenrader practices in East Walpole, MA. The NPI Number for Nicole Bodenrader is 1760957419 and holds a License No. 110489-SW-LICSW (MA). The current practice location address for Nicole Bodenrader is 625 Washington St, East Walpole, MA 02032-1338 and can be reached out via phone at 508-660-7226.

Provider Profile Details

NPI Number
1760957419
Provider Name
Nicole Bodenrader
Provider Entity Type
Individual
Gender
Female
Address
625 Washington St, East Walpole, MA 02032-1338
Phone Number
508-660-7226
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2018
Last Update Date
October 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
625 Washington St
East Walpole, MA 02032-1338
Zip
02032-1338
Phone Number
508-660-7226
East Walpole, MA 02032Get directions →

Provider Business Mailing Address Details

Address
2 Deer Path Unit 3
Maynard, MA 01754-1490
City
Maynard
State
MA
Zip
01754-1490
Phone Number
978-793-0157

License Information

License Number
110489-SW-LICSW
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 Nicole Bodenrader?

The NPI number of Nicole Bodenrader is 1760957419. It was assigned on October 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Nicole Bodenrader?

Nicole Bodenrader is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110489-SW-LICSW.

Where does Nicole Bodenrader practice?

The practice location is 625 Washington St, East Walpole, MA 02032-1338. The office can be reached at 508-660-7226 (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 1760957419 directly on the NPPES registry website.

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