Betty Jo Bolin is a Clinical in Medford, Massachusetts. Betty Jo Bolin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Betty Jo Bolin is 1861697336. The last update date is 2007-07-08.
Betty Jo Bolin's current location address is 200 Boston Ave Ste 1900, Medford, Massachusetts. You can contact this provider via phone number 7813061180 and fax number 7813061190. The mailing address for Betty Jo Bolin is 200 Boston Ave Ste 1900, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betty Jo Bolin |
|---|---|
| Address | 200 Boston Ave Ste 1900, Medford, Massachusetts |
| Phone Number | 7813061180 |
| Fax Number | 7813061190 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1861697336 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Boston Ave Ste 1900 |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 21554257 |
| Phone Number | 7813061180 |
| Fax Number | 7813061190 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106756 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Betty Jo Bolin by the Centers for Medicare & Medicaid Services?
The Betty Jo Bolin has been assigned the NPI (National Provider Identifier) 1861697336 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Betty Jo Bolin is physically located?
The Betty Jo Bolin is situated at the following address: 200 Boston Ave Ste 1900, Medford, MA 21554257.
What is Betty Jo Bolin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Betty Jo Bolin's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1861697336 assigned to Betty Jo Bolin?
The Betty Jo Bolin was issued its 1861697336 on 2007-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Betty Jo Bolin most recently updated or revised?
The details related to Betty Jo Bolin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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