Active NPIIndividual provider

Shreya Bansal, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1932680840
Practice location
3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907
Fax
—
Last updated
August 28, 2018

Shreya Bansal is a Social Worker, Clinical based in Medford, MA. Shreya Bansal practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Shreya Bansal is 1932680840 and holds a License No. 119302 (MA). The current practice location address for Shreya Bansal is 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907 and can be reached out via phone at 847-962-2596.

Provider Profile Details

NPI Number
1932680840
Provider Name
Shreya Bansal
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907
Phone Number
847-962-2596
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2018
Last Update Date
August 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3920 Mystic Valley Pkwy Apt 602
Medford, MA 02155-6907
Zip
02155-6907
Phone Number
847-962-2596
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
3920 Mystic Valley Pkwy Apt 602
Medford, MA 02155-6907
City
Medford
State
MA
Zip
02155-6907

License Information

License Number
119302
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 Shreya Bansal, LICSW?

The NPI number of Shreya Bansal, LICSW is 1932680840. It was assigned on August 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Shreya Bansal, LICSW?

Shreya Bansal, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119302.

Where does Shreya Bansal, LICSW practice?

The practice location is 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907. The office can be reached at 847-962-2596 (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 1932680840 directly on the NPPES registry website.

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