Bess Child, LICSW

Individual provider Active NPI Clinical Social Worker · Northborough, MA

NPI 1275936759 · NPPES record last updated Jun 5, 2018

Key facts

NPI
1275936759
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
118532 (MA)
Practice address
300 W Main St Ste A4
Northborough, MA 01532
Phone
(508) 439-4610
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
118532MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118532 MA Yes

Addresses

Primary practice location

300 W Main St Ste A4
Northborough, MA 01532

Mailing address

300 W Main St Ste A4
Northborough, MA 01532-2132
Phone (508) 439-4610

Other providers in Northborough, MA

All providers in Northborough, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.