Provider Demographics
NPI:1952568529
Name:BOGDANOVE, EVE N (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:N
Last Name:BOGDANOVE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1011
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01302-1011
Mailing Address - Country:US
Mailing Address - Phone:413-325-1502
Mailing Address - Fax:
Practice Address - Street 1:106 FEDERAL ST
Practice Address - Street 2:STE 4
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2524
Practice Address - Country:US
Practice Address - Phone:413-325-1502
Practice Address - Fax:413-774-7010
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1103771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical