Individual provider Active NPI

Tristan Muriel

  • Clinical Social Worker
  • Williamstown, MA
National Provider Identifier
1225437700
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125862 Issued in MA
Practice address
311 Main St
Williamstown, MA 01267-2610
Phone
(413) 212-6007
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0134381 VT
Clinical Social Worker 1041C0700X 125862 MA Primary

Addresses

Primary practice location

311 Main St
Williamstown, MA 01267-2610

Mailing address

44 Front St
Williamstown, MA 01267-2404
Phone (413) 212-6007

Other practice location 1

44 Front St
Williamstown, MA 01267-2404
Phone (413) 212-6007

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
125862MAMDClinical Social Worker
089.0134381VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1225437700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FRONT ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672404",
            "telephone_number": "413-212-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672610",
            "telephone_number": "413-212-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Front St",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "MA",
            "postal_code": "012672404",
            "country_code": "US",
            "telephone_number": "413-212-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURIEL",
        "first_name": "TRISTAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134381",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.