Individual provider Active NPI

Seward Thomas Hunter, MSW, LICSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1215008321
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020699 Issued in MA
Practice address
1105 Massachusetts Ave
Suite 1G
Cambridge, MA 02138-5220
Phone
(617) 628-3163
Fax
(617) 776-0994
NPI assigned
Nov 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1020699 MA Primary

Addresses

Primary practice location

1105 Massachusetts Ave
Suite 1G
Cambridge, MA 02138-5220

Mailing address

122 Orchard St
Somerville, MA 02144-3020
Phone (617) 628-3163

Other identifiers 2

IdentifierTypeStateIssuer
P08367OtherMABLUE CROSS BLUE SHIELD
85126MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000088 MA Practitioner - Clinical Social Worker 5092748269 Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

49 Hancock St
Suite 101
Cambridge, MA 02139-3188
Phone (617) 628-3163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215008321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ORCHARD ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443020",
            "telephone_number": "617-628-3163",
            "fax_number": "617-776-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE",
            "address_2": "SUITE 1G",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385220",
            "telephone_number": "617-628-3163",
            "fax_number": "617-776-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "SEWARD",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE  CROSS BLUE SHIELD",
            "identifier": "P08367",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85126",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.