Amy Booxbaum
Individual provider Active NPI Clinical Social Worker · Bedford, MA
NPI 1801089388 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1801089388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 121401 (MA)
- Practice address
- 200 Springs Rd # 122
Bedford, MA 01730-1114 - Phone
- (781) 382-5544
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121401 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121401 | MA | Yes |
Addresses
Primary practice location
200 Springs Rd # 122
Bedford, MA 01730-1114
Mailing address
200 Springs Rd # 122
Bedford, MA 01730-1114
Phone (817) 382-5544
Other providers in Bedford, MA
- Lawrence Joel Bobrin
- Body of Work, Inc.
- David Boisvert
- Barbara G Bokhour
- Darling Ana Bonilla
- Lauren Borey
- William B Bornstein
- Ann M Borzecki
- Boston Vamc
- Rosalie Tessa Bouchard-Bihr
All providers in Bedford, 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 Jul 10, 2024. 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.