Wellformed AI

NPI 1487494647 · live from the CMS NPI Registry

Dixie Blevins-Bozenko, LGSW

Social Worker in Martinsburg, WV. National Provider Identifier 1487494647, active.

NPI record

NPI1487494647 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location510 Butler Ave, Martinsburg, WV 25405
Practice phone571-331-9018
EnumeratedMay 27, 2024
Last updatedMay 27, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000XBP00946516 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.