Individual provider Active NPI

Judith Bazinet, LICSW

  • Social Worker
  • Boston, MA
National Provider Identifier
1174015358
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118944 Issued in MA
Practice address
20 Bradston St
Boston, MA 02118-2705
Phone
(781) 635-0914
NPI assigned
Jun 4, 2018
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118944 MA Primary

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

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
118944MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1174015358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TALL OAKS DR UNIT Q",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021903515",
            "telephone_number": "781-635-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRADSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182705",
            "telephone_number": "781-635-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Main St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014327",
            "country_code": "US",
            "telephone_number": "508-272-1919",
            "fax_number": "508-588-6719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 George Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020431002",
            "country_code": "US",
            "telephone_number": "508-272-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZINET",
        "first_name": "JUDITH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "118944",
            "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 4, 2018; 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.