Provider Demographics
NPI:1861532343
Name:BOLLINGER, MEREDITH BENZ (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:BENZ
Last Name:BOLLINGER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:ANNE
Other - Last Name:BENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 PULASKI ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1800
Mailing Address - Country:US
Mailing Address - Phone:978-539-7125
Mailing Address - Fax:
Practice Address - Street 1:58 PULASKI ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1800
Practice Address - Country:US
Practice Address - Phone:978-539-7125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-0012491041C0700X
NH14681041C0700X
MA1164751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical