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NPI Code Detail

MEDICARE: LINDA ANN SPATARO LICSW

MEDICARE:   LINDA ANN SPATARO  LICSW
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
11041C0700XClinical Social Worker106224MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P04110OTHERMABLUE CROSS
2017888OTHERMAVALUE OPTIONS

General Provider Information

NPI Number : 1508913732
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA ANN SPATARO LICSW
Provider Business Mailing Address
First Line : 380 UNION STREET
Second Line : SUITE 112
City : WEST SPRINGFIELD
State : MA
Zip : 01089
Country : US
Telephone Number : 413-736-7180
Fax Number : 413-567-3507
Provider Business Practice Location Address
First Line : 380 UNION ST
Second Line : SUITE 112
City : WEST SPRINGFIELD
State : MA
Zip : 01089-4123
Country : US
Telephone Number : 413-736-7180
Fax Number : 413-567-3507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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Directions to “ LINDA ANN SPATARO LICSW” Practice Location

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