NPIMap

Organization Active NPI

Interactivetrainingassociates/Eve N. Bogdanove, Licsw

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1710490750
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110377 Issued in MA
Legal business name
INTERACTIVETRAININGASSOCIATES/EVE N. BOGDANOVE, LICSW
Practice address
486 Main St
Greenfield, MA 01301-3314
Phone
(413) 325-1502
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Eve N Bogdanove, MSW,LICSWNPI 1952568529
Title
Owner/Psychotherapist
Phone
(413) 325-1502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 110377 MA Primary

Addresses

Primary practice location

486 Main St
Greenfield, MA 01301-3314

Mailing address

PO Box 1011
Greenfield, MA 01302-1011
Phone (413) 325-1502

Other identifiers 4

IdentifierTypeStateIssuer
1952568529OtherTUFTS
1952568529OtherMAOPTUM/HARVARD PILGRIM/UBH
70010000P08073OtherMABCBS
S300160621MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1710490750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013021011",
            "telephone_number": "413-325-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013314",
            "telephone_number": "413-325-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVETRAININGASSOCIATES/EVE N. BOGDANOVE, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BOGDANOVE",
        "authorized_official_first_name": "EVE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "413-325-1502",
        "authorized_official_credential": "MSW,LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1952568529",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM/HARVARD PILGRIM/UBH",
            "identifier": "1952568529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70010000P08073",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S300160621",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.