Active NPI
Debra Lynn Spitz, LICSW
- Clinical Social Worker
- Waltham, MA
National Provider Identifier
1245313568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106158
- Practice address
- 169 Elm St
Waltham, MA 02453-5356 - Phone
- (781) 894-8440
- Fax
- (781) 894-1202
- NPI assigned
- Oct 23, 2006
- Last updated
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 106158 | MA | Primary |
Addresses
Primary practice location
169 Elm St
Waltham, MA 02453-5356
Mailing address
169 Elm St
Waltham, MA 02453-5356
Phone (781) 894-8440
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303287 | Other | MA | MBHD |
| 1303287 | Medicaid | MA | |
| NP01332 | Other | BOSTON MED | |
| 703136 | Other | TUFTS | |
| P10329 | Other | MA | BCBS |
| 042611055 | Other | TAX ID | |
| P0558301 | Other | MA | MEDICARE PTAN |
| P0558302 | Other | MA | MEDICARE PTAN |
| 1004745 | Other | NHP | |
| 99618201 | Other | NETWORK HEALTH | |
| M18633 | Other | MA | BCBS |
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, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
40 Walnut St
Suite 302
Wellesley, MA 02481-2175
Phone (617) 332-2047
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edinburg Center Inc | Clinical | Current | Accepting new patients |
| Newton-Wellesley Psychiatry | Clinical | Current | Accepting new patients |
Locations
205 Burlington Rd
Bedford, MA 01730
Phone (781) 761-5064
2364 Washington St
Newton Lower Falls, MA 02462
Phone (617) 332-2047
40 Walnut St
Ste 302
Wellesley Hills, MA 02481
Phone (617) 332-2047
Organizations & group practices 2
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": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1245313568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ELM ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535356",
"telephone_number": "781-894-8440",
"fax_number": "781-894-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ELM ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535356",
"telephone_number": "781-894-8440",
"fax_number": "781-894-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZ",
"first_name": "DEBRA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHD",
"identifier": "1303287",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MED",
"identifier": "NP01332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "703136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P10329",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "042611055",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "P0558301",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "P0558302",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1004745",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99618201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18633",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.