Michael Bodem, B.A.
Individual provider Active NPI Clinical Social Worker · Acton, MA
NPI 1376971374 · NPPES record last updated Oct 29, 2013
Key facts
- NPI
- 1376971374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 360 Massachusetts Ave
Suite 201
Acton, MA 01720-3750 - Phone
- (978) 460-8482
- NPI assigned
- Oct 29, 2013
- Sex
- Male
- 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
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
360 Massachusetts Ave
Suite 201
Acton, MA 01720-3750
Mailing address
14 Deerfield Rd
Wellesley, MA 02481-1213
Phone (781) 223-3315
Other providers in Acton, MA
- Danielle Blackmore
- Lauren Michele Bleich
- Bliss Body, LLC
- Hannah Bloch
- Eric Matthew Block
- Corinne Barbara Boet-Whitaker
- Meera Boghani
- Stephen Bosjlie
- Boston Business Systems, Inc.
- Josephine Anne Bottone
All providers in Acton, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.