| Doronit S. Bloomenthal, Licsw, Llc | |
|
234 Littleton Rd Ste 1d Westford MA 01886-3530 | |
| (978) 467-4423 | |
| Not Available |
| Full Name | Doronit S. Bloomenthal, Licsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 234 Littleton Rd Ste 1d, Westford, Massachusetts |
| Authorized Official Name and Position | Doronit Shlank-bloomenthal (MANAGER) |
| Authorized Official Contact | 9784674423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doronit S. Bloomenthal, Licsw, Llc 234 Littleton Rd Ste 1d Westford MA 01886-3530 Ph: (978) 467-4423 | Doronit S. Bloomenthal, Licsw, Llc 234 Littleton Rd Ste 1d Westford MA 01886-3530 Ph: (978) 467-4423 |
| NPI Number | 1942954862 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 3971960865 |
|---|---|
| Medicare Enrollment ID | O20230608001093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942954862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Doronit Shlank-bloomenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205085636 PECOS PAC ID: 0547663288 Enrollment ID: I20230707000851 |
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