Judith Bazinet, LICSW
Individual provider Active NPI Social Worker · Boston, MA
NPI 1174015358 · NPPES record last updated Jun 4, 2018
Key facts
- NPI
- 1174015358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 118944 (MA)
- Practice address
- 20 Bradston St
Boston, MA 02118-2705 - Phone
- (781) 635-0914
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118944 | MA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 118944 | MA | Yes |
Addresses
Primary practice location
20 Bradston St
Boston, MA 02118-2705
Mailing address
116 Tall Oaks Dr Unit Q
Weymouth, MA 02190-3515
Phone (781) 635-0914
Other practice location 1
215 Main St
Brockton, MA 02301-4327
Phone (508) 272-1919
Other practice location 2
28 George Washington Blvd
Hingham, MA 02043-1002
Phone (508) 272-1918
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All providers in Boston, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.