Judith D. Bralove is a Clinical in Fitchburg, Massachusetts. Judith D. Bralove practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith D. Bralove is 1366513525. The last update date is 2007-07-08.
Judith D. Bralove's current location address is 76 Summer St, Fitchburg, Massachusetts. You can contact this provider via phone number 9783428280 and fax number 9783439408. The mailing address for Judith D. Bralove is 76 Summer St, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith D. Bralove |
|---|---|
| Address | 76 Summer St, Fitchburg, Massachusetts |
| Phone Number | 9783428280 |
| Fax Number | 9783439408 |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1366513525 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 76 Summer St |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14205783 |
| Phone Number | 9783428280 |
| Fax Number | 9783439408 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 104615 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P02825 | MA | BLUE CROSS PROVIDER # | |
| 104615 | MA | PROF. LIC. NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Judith D. Bralove by the Centers for Medicare & Medicaid Services?
The Judith D. Bralove has been assigned the NPI (National Provider Identifier) 1366513525. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judith D. Bralove is physically located?
The Judith D. Bralove is situated at the following address: 76 Summer St, Fitchburg, MA 14205783.
What is Judith D. Bralove's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judith D. Bralove's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366513525 to Judith D. Bralove?
The Centers for Medicare & Medicaid Services originally issued the 1366513525 to Judith D. Bralove on 2006-11-10.
When was the Judith D. Bralove's information last updated?
The Judith D. Bralove's information was last updated on 2007-07-08.