Individual provider Active NPI

Bridget Mazenkas, LICSSW

  • Clinical Social Worker
  • East Bridgewater, MA
National Provider Identifier
1265118707
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126659 Issued in MA
Practice address
555 Plymouth St
East Bridgewater, MA 02333-2007
Phone
(781) 626-1284
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 126659 MA Primary

Addresses

Primary practice location

555 Plymouth St
East Bridgewater, MA 02333-2007

Mailing address

555 Plymouth St
East Bridgewater, MA 02333-2007
Phone (781) 626-1284

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
126659MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1265118707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLYMOUTH ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023332007",
            "telephone_number": "781-626-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLYMOUTH ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023332007",
            "telephone_number": "781-626-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZENKAS",
        "first_name": "BRIDGET",
        "credential": "LICSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.