Active NPIIndividual provider

Mrs. Bethany E Kullman-Duval, LICSW

Social Worker, Clinical in Winchendon, Massachusetts

NPI Number1831202142
Practice location
55 Hospital Dr, Winchendon, MA 01475-1820
Fax
978-630-6845
Last updated
October 19, 2015

Bethany Elaine Kullman-Duval is a Social Worker, Clinical based in Winchendon, MA. Bethany Elaine Kullman-Duval practices in Winchendon, MA and has the professional credentials of LICSW. The NPI Number for Bethany Elaine Kullman-Duval is 1831202142 and holds a License No. 1031066 (MA). The current practice location address for Bethany Elaine Kullman-Duval is 55 Hospital Dr, Winchendon, MA 01475-1820 and can be reached out via phone at 603-680-1654 and via fax at 978-630-6845.

Provider Profile Details

NPI Number
1831202142
Provider Name
Bethany Elaine Kullman-Duval
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
55 Hospital Dr, Winchendon, MA 01475-1820
Phone Number
603-680-1654
Fax Number
978-630-6845
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2006
Last Update Date
October 19, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Hospital Dr
Winchendon, MA 01475-1820
Zip
01475-1820
Phone Number
603-680-1654
Fax Number
978-630-6845
Winchendon, MA 01475Get directions →

Provider Business Mailing Address Details

Address
43 Spindleback Ln
New Ipswich, NH 03071-3230
City
New Ipswich
State
NH
Zip
03071-3230
Phone Number
603-680-1654
Fax Number
978-630-6845

License Information

License Number
1031066
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 Mrs. Bethany E Kullman-Duval, LICSW?

The NPI number of Mrs. Bethany E Kullman-Duval, LICSW is 1831202142. It was assigned on August 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Bethany E Kullman-Duval, LICSW?

Mrs. Bethany E Kullman-Duval, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1031066.

Where does Mrs. Bethany E Kullman-Duval, LICSW practice?

The practice location is 55 Hospital Dr, Winchendon, MA 01475-1820. The office can be reached at 603-680-1654 (phone) or 978-630-6845 (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 1831202142 directly on the NPPES registry website.

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