Healthcare Provider Details

I. General information

NPI: 1053288571
Provider Name (Legal Business Name): CAROLINE ELAINE BARDINI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 UNION ST STE 222
WORCESTER MA
01608-1147
US

IV. Provider business mailing address

184 JEWELL HILL RD
ASHBURNHAM MA
01430-1407
US

V. Phone/Fax

Practice location:
  • Phone: 508-635-4360
  • Fax: 508-475-9579
Mailing address:
  • Phone: 508-635-4360
  • Fax: 508-475-9579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10005283
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: