| Interactivetrainingassociates/eve N. Bogdanove, Licsw | |
|
486 Main St Greenfield MA 01301-3314 | |
| (413) 325-1502 | |
| Not Available |
| Full Name | Interactivetrainingassociates/eve N. Bogdanove, Licsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 486 Main St, Greenfield, Massachusetts |
| Authorized Official Name and Position | Eve N Bogdanove (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4133251502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interactivetrainingassociates/eve N. Bogdanove, Licsw Po Box 1011 Greenfield MA 01302-1011 Ph: (413) 325-1502 | Interactivetrainingassociates/eve N. Bogdanove, Licsw 486 Main St Greenfield MA 01301-3314 Ph: (413) 325-1502 |
| NPI Number | 1710490750 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710490750 | NPI | - | NPPES |
| 1952568529 | Other | TUFTS | |
| 1952568529 | Other | MA | OPTUM/HARVARD PILGRIM/UBH |
| 70010000P08073 | Other | MA | BCBS |
| S300160621 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110377 (Massachusetts) | Primary |
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