Individual provider Active NPI

Miriam Ruth Benjamina Feese, LCSW

  • Clinical Social Worker
  • Weimar, CA
National Provider Identifier
1003270505
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101097 Issued in CA
Practice address
20601 W Paoli LN
Weimar, CA 95736
Phone
(530) 637-4025
NPI assigned
Apr 11, 2016
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 101097 CA Primary

Addresses

Primary practice location

20601 W Paoli LN
Weimar, CA 95736

Mailing address

PO Box 237
Weimar, CA 95736-0237
Phone (530) 217-8057

Other names 1

  • Miriam Ruth Benjamina Bernstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507002361 CA Practitioner - Clinical Social Worker 4284043027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newstart Medical Group IncGroup PAC ID 8628299799, 22 clinicians

Practice addresses (Care Compare)

20601 W Paoli LN
Weimar, CA 95736-0486
Phone (530) 637-4025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newstart Medical Group Inc CurrentSince Apr 26, 2021 Accepting new patients
Turning Point Community Programs Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: miriam.feese.1@11511.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1003270505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "WEIMAR",
            "state": "CA",
            "postal_code": "957360237",
            "telephone_number": "530-217-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 W PAOLI LN",
            "city": "WEIMAR",
            "state": "CA",
            "postal_code": "95736",
            "telephone_number": "530-637-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEESE",
        "first_name": "MIRIAM",
        "middle_name": "RUTH BENJAMINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-02-03",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "BERNSTEIN",
            "middle_name": "RUTH BENJAMINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weimar, CA

Sources for this page

Verify at the official NPI Registry.