Active NPI
Judith Bazinet, LICSW
- Social Worker
- Boston, MA
National Provider Identifier
1174015358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 118944
- Practice address
- 20 Bradston St
Boston, MA 02118-2705 - Phone
- (781) 635-0914
- NPI assigned
- Jun 4, 2018
- Last updated
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 118944 | MA | MD | Social 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.