Barbara Bolibok, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111715 Issued in MA

Practice address

50 Pleasant St
Northampton, MA 01060-3909

Phone

(413) 584-6855

Fax

(413) 585-1376

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 20, 2023 through Jan 20, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Change Happens, Inc

  • Clinical Social Worker
  • Chicopee, MA
  • NPI 1831359603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457385239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603909",
            "telephone_number": "413-584-6855",
            "fax_number": "413-585-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603909",
            "telephone_number": "413-584-6855",
            "fax_number": "413-585-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIBOK",
        "first_name": "BARBARA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bleiweiss X, SPEECH LANGUAGE PATH
• Sophia Bletsos
• Arieh Blowers
• Lisa Ann Bock, RN
• Jennifer Bogin, M.S.ED, BCBA
• Tom Bonanno
• Jessica Stevens Bond, LICSW
• Patricia A Bonner, D.M.D.
• Arianna Bonzagni, DOCTOR OF PHARMACY
• Susan Elisabeth Bordeaux

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.