MEDICARE: EASYGOING COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1053104521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASYGOING COUNSELING, LLC

Provider Business Mailing Address
First Line	:	55 ELEANOR RD
Second Line	:
City	:	RAYNHAM
State	:	MA
Zip	:	02767-1205
Country	:	US
Telephone Number	:	508-463-5393
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 ELEANOR RD
Second Line	:
City	:	RAYNHAM
State	:	MA
Zip	:	02767-1205
Country	:	US
Telephone Number	:	508-463-5393
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR /OWNER
Name	:	JOE BORDIERI
Credential	:	LICSW
Telephone Number	:	508-463-5393

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	05/27/2025

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