Individual provider Active NPI

Dewie Weiner Schriesheim, MS

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1083604862
Registry record updated Sep 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102177 Issued in MA
Practice address
76 Bedford St
Suite 19
Lexington, MA 02420-4646
Phone
(781) 861-7585
Fax
(781) 862-2591
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2010

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 102177 MA Primary

Addresses

Primary practice location

76 Bedford St
Suite 19
Lexington, MA 02420-4646

Mailing address

4 Dover LN
Lexington, MA 02421-6100
Phone (781) 861-7585

Other identifiers 1

IdentifierTypeStateIssuer
WEP01344OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Dewie Weiner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
102177MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283644800000",
    "number": "1083604862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOVER LN",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216100",
            "telephone_number": "781-861-7585",
            "fax_number": "781-862-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "SUITE 19",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-861-7585",
            "fax_number": "781-862-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRIESHEIM",
        "first_name": "DEWIE",
        "middle_name": "WEINER",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "WEP01344",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEWIE",
            "last_name": "WEINER",
            "prefix": "MS.",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.