Individual
MR. BART NIERENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
1200 CONVERSE ST, SUITE 202, LONGMEADOW, MA 01106-1760
(413) 565-2840
Mailing address
118 WESTMORELAND AVE, LONGMEADOW, MA 01106-1428
(413) 565-2840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106211
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1852868
—
MA
Enumeration date
07/24/2006
Last updated
07/08/2007
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