MEDICARE: JOE BORDIERI 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
1	1041C0700X	Clinical Social Worker	122223	MA

General Provider Information

NPI Number	:	1720341712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOE BORDIERI LICSW

Provider Business Mailing Address
First Line	:	269 CENTRAL ST
Second Line	:
City	:	FOXBOROUGH
State	:	MA
Zip	:	02035-2609
Country	:	US
Telephone Number	:
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	:	617-469-8560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2012
Last Update Date	:	01/09/2026

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