Evan Vandy Bollinger in Leverett - Clinical
Evan Vandy Bollinger - NPI 1851424055
Evan Vandy Bollinger is a Clinical in Leverett, Massachusetts. Evan Vandy Bollinger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evan Vandy Bollinger is 1851424055. The last update date is 2007-07-08.
Evan Vandy Bollinger's current location address is 53 Juggler Meadow Rd, Leverett, Massachusetts. You can contact this provider via phone number 4135483970. The mailing address for Evan Vandy Bollinger is 53 Juggler Meadow Rd, Leverett, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan Vandy Bollinger |
|---|---|
| Address | 53 Juggler Meadow Rd, Leverett, Massachusetts |
| Phone Number | 4135483970 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.ED., LMH |
NPI Number Detail
| NPI Number | 1851424055 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 53 Juggler Meadow Rd |
|---|---|
| City | Leverett |
| State | Massachusetts (MA) |
| Post Code | 10549521 |
| Phone Number | 4135483970 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 203113 |
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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 |
|---|---|---|---|
| LM1086 | MA | BCBSMA PROVIDER NUMBER | |
| 5278 | MA | LMHC LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Evan Vandy Bollinger by the Centers for Medicare & Medicaid Services?
The Evan Vandy Bollinger has been issued the NPI (National Provider Identifier) 1851424055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Evan Vandy Bollinger is located?
The Evan Vandy Bollinger is situated at the following address: 53 Juggler Meadow Rd, Leverett, MA, 10549521.
What is Evan Vandy Bollinger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evan Vandy Bollinger is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Evan Vandy Bollinger receive its 1851424055 assignment from the Centers for Medicare & Medicaid Services?
The Evan Vandy Bollinger was assigned its 1851424055 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date was the information regarding Evan Vandy Bollinger, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Evan Vandy Bollinger, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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