Active NPI
Joel Krieg, LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1215256201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115659
- Practice address
- 10 Concord Ave
Cambridge, MA 02138-2322 - Phone
- (617) 682-0057
- NPI assigned
- May 31, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 115659 | MA | Primary |
Addresses
Primary practice location
10 Concord Ave
Cambridge, MA 02138-2322
Mailing address
10 Concord Ave
Cambridge, MA 02138-2322
Phone (617) 682-0057
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Concord Ave
Cambridge, MA 02138-2322
Phone (617) 682-0057
43 Garrison Rd
Brookline, MA 02445-4445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookline Community Mental Health Center Inc. | Current | Accepting new patients |
Locations
43 Garrison Rd
Brookline, MA 02445
Phone (617) 277-8107
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Brookline, MA
- NPI 1881610244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1215256201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021382322",
"telephone_number": "617-682-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021382322",
"telephone_number": "617-682-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEG",
"first_name": "JOEL",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-31",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.