Individual provider Active NPI

Marian R Weisenfeld, LICSW

  • Clinical Social Worker
  • Arlington, MA
National Provider Identifier
1134863475
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1031296 Issued in MA
Practice address
52 Dickson Ave
Arlington, MA 02474-2042
Phone
(781) 771-4003
Fax
(781) 646-1085
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 1031296 MA Primary

Addresses

Primary practice location

52 Dickson Ave
Arlington, MA 02474-2042

Mailing address

52 Dickson Ave
Arlington, MA 02474-2042
Phone (781) 771-4003

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1031296MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1134863475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 DICKSON AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024742042",
            "telephone_number": "781-771-4003",
            "fax_number": "781-646-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 DICKSON AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024742042",
            "telephone_number": "781-771-4003",
            "fax_number": "781-646-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENFELD",
        "first_name": "MARIAN",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.