=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902422173
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NESS CALVIN BELLINI
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2020
-----------------------------------------------------
Last Update Date | 12/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 102 MAIN ST
-----------------------------------------------------
City | GREENFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01301-3275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-243-4357
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21 TURNERS FALLS RD APT D
-----------------------------------------------------
City | TURNERS FALLS
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01376-2253
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-325-5697
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 127613
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------