Active NPI
Vivian J. Bussiere, LICSW
- Clinical Social Worker
- Hyannis, MA
National Provider Identifier
1295982171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1029270
- Practice address
- 60 Perseverance Way
Second Floor
Hyannis, MA 02601-1843 - Phone
- (508) 862-0600
- Fax
- (508) 852-0590
- NPI assigned
- Aug 22, 2008
- 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 | 1029270 | MA | Primary |
Addresses
Primary practice location
60 Perseverance Way
Second Floor
Hyannis, MA 02601-1843
Mailing address
11 Lawrence St
Suite 322
Lawrence, MA 01840-1431
Phone (978) 687-1617
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1029270 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FCP, 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lawrence, MA
- NPI 1992819411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1295982171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LAWRENCE ST",
"address_2": "SUITE 322",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401431",
"telephone_number": "978-687-1617",
"fax_number": "978-687-1597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PERSEVERANCE WAY",
"address_2": "SECOND FLOOR",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026011843",
"telephone_number": "508-862-0600",
"fax_number": "508-852-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSIERE",
"first_name": "VIVIAN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1029270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.