NPIMap

Individual provider Active NPI

Margaret Mary Zisk, L.I.C.S.W.

  • Social Worker
  • Somerville, MA
National Provider Identifier
1053514307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113114 Issued in MA
Practice address
35A Memorial Rd Apt 12
Somerville, MA 02145-1706
Phone
(617) 629-6617
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113114 MA Primary

Addresses

Primary practice location

35A Memorial Rd Apt 12
Somerville, MA 02145-1706

Mailing address

10 Usher Rd
Medford, MA 02155-2233
Phone (781) 391-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. Past Accepting new patients
Somerville Mental Health Association, Inc. Past Accepting new patients
Somerville Mental Health Association, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053514307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 USHER RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552233",
            "telephone_number": "781-391-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35A MEMORIAL RD APT 12",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451706",
            "telephone_number": "617-629-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISK",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "113114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.