Active NPI
Eve N. Bogdanove, MSW, LICSW
- Clinical Social Worker
- Greenfield, MA
National Provider Identifier
1952568529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110377
- Practice address
- 106 Federal St
Ste 4
Greenfield, MA 01301-2524 - Phone
- (413) 325-1502
- Fax
- (413) 774-7010
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110377 | MA | Primary |
Addresses
Primary practice location
106 Federal St
Ste 4
Greenfield, MA 01301-2524
Mailing address
PO Box 1011
Greenfield, MA 01302-1011
Phone (413) 325-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110377 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interactivetrainingassociates/Eve N. Bogdanove, Licsw | Clinical | Current | Accepting new patients |
Locations
486 Main St
Ste 2
Greenfield, MA 01301
Phone (413) 325-1502
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Greenfield, MA
- NPI 1710490750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1952568529",
"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": "106 FEDERAL ST",
"address_2": "STE 4",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012524",
"telephone_number": "413-325-1502",
"fax_number": "413-774-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGDANOVE",
"first_name": "EVE",
"middle_name": "N.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110377",
"primary": true
}
],
"identifiers": [],
"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 Dec 4, 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.