Provider Demographics
NPI:1518258631
Name:BELLIVEAU, NORBERT ARTHUR (LICSW)
Entity Type:Individual
Prefix:MR
First Name:NORBERT
Middle Name:ARTHUR
Last Name:BELLIVEAU
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TRUMBULL RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3079
Mailing Address - Country:US
Mailing Address - Phone:413-588-2472
Mailing Address - Fax:
Practice Address - Street 1:8 TRUMBULL RD
Practice Address - Street 2:SUITE 304
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3079
Practice Address - Country:US
Practice Address - Phone:413-588-2472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-23
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1161321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical