Nierenberg, Bart
Nierenberg, Bart is an sole proprietor health care provider with primary practice located at 1200 Converse St Suite 202, Longmeadow MA 01106-1760. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nierenberg, Bart can be contacted via phone (413) 565-2840.Contact Information
Primary practice address
1200 Converse St Suite 202
Longmeadow MA 01106-1760
Phone: (413) 565-2840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106211 | Massachusetts |
Profile Details
| NPI number | 1598787962 |
|---|---|
| LBN Legal business name | Nierenberg, Bart |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598787962 | NPPES |
| Massachusetts | MEDICAID | 1852868 |
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