Nancy M Bodwell, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1017866 Issued in MA

Practice address

PO Box 236
Newburyport, MA 01950-0236

Phone

(978) 462-2022

Fax

(978) 462-3900

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

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 Dec 31, 2023 through Dec 31, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Avery Psychological Services PA

  • Counseling Psychologist
  • Durham, NH
  • NPI 1417367426
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1477633238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OAKLAND ST # 2",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502127",
            "telephone_number": "978-462-2022",
            "fax_number": "978-462-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019500236",
            "telephone_number": "978-462-2022",
            "fax_number": "978-462-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODWELL",
        "first_name": "NANCY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Massachusetts, Inc. (Fresenius Medical Care of Newburyport)
• Bethany A Bishop Daniels, M.D.
• Joanna Harmony Blabac, LMHC
• Robin S. Blair, O.D.
• Katherine A Blake, APRN BC
• Sheryn Faith Bonder, LICSW
• Tammy B Bottner, M.D.
• Katherine Anne Bourne, MD
• Kelly Bowen
• Zachary David Bowen, DMD

• Clinical Social Worker in Newburyport, MA
• Providers in Newburyport, 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 31, 2019; 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.