Individual provider Active NPI

Meghan L Resetar

  • Clinical Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1043461023
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
29 Bynner St
Apt 1
Jamaica Plain, MA 02130-1128
Phone
(619) 781-2045
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

29 Bynner St
Apt 1
Jamaica Plain, MA 02130-1128

Mailing address

29 Bynner St
Apt 1
Jamaica Plain, MA 02130-1128
Phone (619) 781-2045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250603000278 NY Practitioner - Clinical Social Worker 4880103779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga CountyGroup PAC ID 7810983012, 19 clinicians

Practice addresses (Care Compare)

135 S Broadway
Saratoga Springs, NY 12866-4532
Phone 51858490301051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1043461023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BYNNER ST",
            "address_2": "APT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301128",
            "telephone_number": "619-781-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BYNNER ST",
            "address_2": "APT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301128",
            "telephone_number": "619-781-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESETAR",
        "first_name": "MEGHAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.