Active NPIIndividual provider

Diane A Bazin Judd, LICSW

Social Worker, Clinical in South Hadley, Massachusetts

NPI Number1952436024
Practice location
160 Brainerd St, South Hadley, MA 01075-1306
Fax
—
Last updated
August 14, 2009

Diane Alice Bazin Judd is a Social Worker, Clinical based in South Hadley, MA. Diane Alice Bazin Judd practices in South Hadley, MA and has the professional credentials of LICSW. The NPI Number for Diane Alice Bazin Judd is 1952436024 and holds a License No. 111131 (MA). The current practice location address for Diane Alice Bazin Judd is 160 Brainerd St, South Hadley, MA 01075-1306 and can be reached out via phone at 413-534-7772.

Provider Profile Details

NPI Number
1952436024
Provider Name
Diane Alice Bazin Judd
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
160 Brainerd St, South Hadley, MA 01075-1306
Phone Number
413-534-7772
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2007
Last Update Date
August 14, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Brainerd St
South Hadley, MA 01075-1306
Zip
01075-1306
Phone Number
413-534-7772
South Hadley, MA 01075Get directions →

Provider Business Mailing Address Details

Address
160 Brainerd St
South Hadley, MA 01075-1926
City
South Hadley
State
MA
Zip
01075-1926
Phone Number
413-534-7772

License Information

License Number (1)
111131
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
005168
License State (2)
CT
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 Diane A Bazin Judd, LICSW?

The NPI number of Diane A Bazin Judd, LICSW is 1952436024. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Diane A Bazin Judd, LICSW?

Diane A Bazin Judd, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111131.

Where does Diane A Bazin Judd, LICSW practice?

The practice location is 160 Brainerd St, South Hadley, MA 01075-1306. The office can be reached at 413-534-7772 (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 1952436024 directly on the NPPES registry website.

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