Active NPIIndividual provider

Mrs. Betty J Bolin, MSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1861697336
Practice location
200 Boston Ave Ste 1900, Medford, MA 02155-4257
Fax
781-306-1190
Last updated
July 8, 2007

Betty Jo Bolin is a Social Worker, Clinical based in Medford, MA. Betty Jo Bolin practices in Medford, MA and has the professional credentials of MSW. The NPI Number for Betty Jo Bolin is 1861697336 and holds a License No. 106756 (MA). The current practice location address for Betty Jo Bolin is 200 Boston Ave Ste 1900, Medford, MA 02155-4257 and can be reached out via phone at 781-306-1180 and via fax at 781-306-1190.

Provider Profile Details

NPI Number
1861697336
Provider Name
Betty Jo Bolin
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
200 Boston Ave Ste 1900, Medford, MA 02155-4257
Phone Number
781-306-1180
Fax Number
781-306-1190
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Boston Ave Ste 1900
Medford, MA 02155-4257
Zip
02155-4257
Phone Number
781-306-1180
Fax Number
781-306-1190
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
200 Boston Ave Ste 1900
Medford, MA 02155-4257
City
Medford
State
MA
Zip
02155-4257
Phone Number
781-306-1180
Fax Number
781-306-1190

License Information

License Number
106756
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. Betty J Bolin, MSW?

The NPI number of Mrs. Betty J Bolin, MSW is 1861697336. It was assigned on June 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Betty J Bolin, MSW?

Mrs. Betty J Bolin, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 106756.

Where does Mrs. Betty J Bolin, MSW practice?

The practice location is 200 Boston Ave Ste 1900, Medford, MA 02155-4257. The office can be reached at 781-306-1180 (phone) or 781-306-1190 (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 1861697336 directly on the NPPES registry website.

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