Individual
MS. CAROL A BERVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16 CENTER ST, NORTHAMPTON, MA 01060-3031
(413) 586-8493
Mailing address
33 KEYES ST, FLORENCE, MA 01062-1416
(413) 586-8493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105126
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854615
—
MA
01
—
1895320
MBHP
MA
01
—
P03744
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/17/2007
Last updated
07/08/2007
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