Individual provider Active NPI

Julie Clare Buchinski, LICSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1245264977
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110880 Issued in MA
Practice address
1330 Beacon St
Ste 349
Brookline, MA 02446-3204
Phone
(617) 733-5406
NPI assigned
Jul 10, 2006
Last updated
Dec 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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 110880 MA Primary

Addresses

Primary practice location

1330 Beacon St
Ste 349
Brookline, MA 02446-3204

Mailing address

26 Parkman St
Apt 1
Brookline, MA 02446-3812
Phone (617) 733-5406

Other identifiers 1

IdentifierTypeStateIssuer
P07119OtherMABCBS

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
I20040219000268 MA Practitioner - Clinical Social Worker 2062307960 Practice locations: Brookline, MA; Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Upland Rd
Cambridge, MA 02140-2717
Phone (617) 733-5406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1245264977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PARKMAN ST",
            "address_2": "APT 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463812",
            "telephone_number": "617-733-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BEACON ST",
            "address_2": "STE 349",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463204",
            "telephone_number": "617-733-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHINSKI",
        "first_name": "JULIE",
        "middle_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P07119",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.