MARY BOBOLA LICSW NPI 1477524254

NPI Information

NPI: 1477524254
Provider Name: MARY BOBOLA, LICSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
191 MAY ST
WORCESTER, MA
ZIP 01602
Phone: (508) 368-7888
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Mary Bobola, LICSW is a social worker in Worcester, MA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Mary Bobola, LICSW NPI is 1477524254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

191 MAY ST
WORCESTER, MA
ZIP 01602
Phone: (508) 368-7888
Fax: (508) 792-4392

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		1026597	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	042472266	OTHER		PRIVATE HEALTHCARE SYSTEM
2	1061933	OTHER		CIGNA HEALTH PLAN
3	042472266	OTHER		THREE RIVERS
4	P07209	OTHER		BLUE SHIELD HMO BLUE
5	042472266	OTHER		HEALTHCARE VALUE MANAGEME
6	2043637	OTHER		FIRST HEALTH
7	580244000	OTHER		MAGELLAN BEHAVIORAL HEALT
8	800011108	OTHER		RAILROAD MEDICARE
9	04247226	OTHER		ONE HEALTH PLAN
10	33824	OTHER		FALLON COMMUNITY HEALTH P
11	785946	OTHER		MVP HEALTH CARE
12	P07209	OTHER		BLUE SHIELD INDEMNITY
13	P20253	OTHER		MEDICARE B
14	042472266006	OTHER		TRICARE CHAMPUS
15	P07209	OTHER		BLUE CARE ELECT
16	042472266	OTHER		PACIFICARE
17	P20253	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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