Larry Higginbottom
Clinical Social Worker
184 Dudley St Suite 107 Ll
Roxbury
, Massachusetts 02119-2561
Larry Higginbottom
Clinical Social Worker
184 Dudley St Suite 107 Ll
Roxbury
, Massachusetts 02119-2561
(617) 442-4002
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Larry Higginbottom
- 184 Dudley St Suite 107 Ll
- Roxbury, MA
- Zip : 02119-2561
- Fax : (617) 442-4002
- Phone : (617) 442-2002
Second Address
- Larry Higginbottom
- 184 Dudley St Suite 107 Ll
- Roxbury, MA
- Zip : 02119-2561
- Fax : (617) 442-4002
- Phone : (617) 442-2002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 2030131 | MA |
National Provider Identifier
| NPI | 1003062688 |
|---|---|
| Provider Name | Larry Higginbottom |
| First Address | Roxbury, MA 02119-2561 |
| Second Address | Roxbury, MA 02119-2561 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2008 |
| Last Update Date | 14/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.