Active NPI
Miriam Bernardin, LCSW
- Social Worker
- Boston, MA
National Provider Identifier
1245711522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 223745
- Practice address
- 330 Brookline Ave
Boston, MA 02215-5491 - Phone
- (617) 667-0323
- NPI assigned
- Aug 24, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 223745 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215-5491
Mailing address
43 Warwick Rd
West Newton, MA 02465-1723
Phone (617) 320-0719
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
64 Eldredge St
Newton, MA 02458-2017
Phone (617) 969-4925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Community Care, Inc. | Current | Accepting new patients | |
| Riverside Community Care | Past | Accepting new patients |
Locations
270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905
64 Eldredge St
Newtonville, MA 02458
Phone (617) 969-4925
190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Norwood, MA
- NPI 1780791467
-
- Community/Behavioral Health Agency
- Newton, MA
- NPI 1730473992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1245711522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WARWICK RD",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651723",
"telephone_number": "617-320-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155491",
"telephone_number": "617-667-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARDIN",
"first_name": "MIRIAM",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "223745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.