Individual provider Active NPI

Beth Carole Damsky, MSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1275673634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106327 Issued in MA
Practice address
50 Dudley St
Cambridge, MA 02140-2404
Phone
(617) 497-6581
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 106327 MA Primary

Addresses

Primary practice location

50 Dudley St
Cambridge, MA 02140-2404

Mailing address

50 Dudley St
Cambridge, MA 02140-2404
Phone (617) 497-6581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 2, 2024 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275673634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DUDLEY ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402404",
            "telephone_number": "617-497-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DUDLEY ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402404",
            "telephone_number": "617-497-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSKY",
        "first_name": "BETH",
        "middle_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.