Jeffrey Vizarreta, LADC 1, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

222420 Issued in MA

Practice address

45 Saint Claire St
Braintree, MA 02184-8239

Phone

(781) 591-1090

Fax

(781) 817-6547

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1144839028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SAINT CLAIRE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021848239",
            "telephone_number": "781-591-1090",
            "fax_number": "781-817-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SAINT CLAIRE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021848239",
            "telephone_number": "781-591-1090",
            "fax_number": "781-817-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZARRETA",
        "first_name": "JEFFREY",
        "credential": "LADC 1, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.hptc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "45 Saint Claire St",
            "city": "Braintree",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021848239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vitra Health of Ohio
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• Giana Jean Vittoriso, MOT, OTR/L
• Jeffrey Michael Volpe, OPTICIAN
• Haley Anne Vradenburg, LMHC
• Zung Suan Vu, PHARMD
• Nancy Ruth Wainer, C.P.M.
• Cristine Waldron, FNP-BC

• Clinical Social Worker in Braintree, MA
• Providers in Braintree, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.