Individual provider Active NPI

Binh Thai Nguyen, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1114545894
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127087 Issued in MA
Practice address
175 Federal St Ste 1400
Boston, MA 02110-2237
Phone
(617) 336-3246
Fax
(857) 401-3013
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 127087 MA Primary

Addresses

Primary practice location

175 Federal St Ste 1400
Boston, MA 02110-2237

Mailing address

23 Long Ave Apt 3
Allston, MA 02134-2674
Phone (860) 680-6478

Other practice location 1

1881 Worcester Rd
Framingham, MA 01701-5410
Phone (508) 628-6300

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
68
Promoting interoperability
0
Improvement activities
40
Cost
81.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Insight Counseling Associates, LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

175 Federal St
Ste 1400
Boston, MA 02110
Phone (617) 336-3246

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1114545894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LONG AVE APT 3",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342674",
            "telephone_number": "860-680-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FEDERAL ST STE 1400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102237",
            "telephone_number": "617-336-3246",
            "fax_number": "857-401-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Worcester Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017015410",
            "country_code": "US",
            "telephone_number": "508-628-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BINH",
        "middle_name": "THAI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.