MEDICARE: BSW PSYCHIATRY, 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1669362240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BSW PSYCHIATRY, LLC

Provider Business Mailing Address
First Line	:	77R STATE RD
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-2919
Country	:	US
Telephone Number	:	508-817-7597
Fax Number	:	774-202-2737

Provider Business Practice Location Address
First Line	:	77R STATE RD
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-2919
Country	:	US
Telephone Number	:	508-817-7597
Fax Number	:	774-202-2737

Authorized Official
Title or Position	:	DIRECTOR
Name	:	AL RAPOSO
Credential	:
Telephone Number	:	508-817-7597

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	08/13/2025

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