Individual provider Active NPI

Joseph Arthur Pereira, LCSW

  • Clinical Social Worker
  • New Bedford, MA
National Provider Identifier
1306238068
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
219074 Issued in MA
Practice address
543 North St
New Bedford, MA 02740-2782
Phone
(508) 984-5566
NPI assigned
Mar 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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 219074 MA Primary

Addresses

Primary practice location

543 North St
New Bedford, MA 02740-2782

Mailing address

171 Braley Rd
East Freetown, MA 02717-1126
Phone (508) 735-1802

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526000563 MA Practitioner - Clinical Social Worker 0446540876 Reassigns benefits to 1 organization
Practice locations: New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 8TH St
New Bedford, MA 02740-6026
Phone (508) 735-1802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
219074MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services, Inc. CurrentSince Apr 4, 2016 Accepting new patients

Locations

3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

543 North St
New Bedford, MA 02740
Phone (508) 973-2208

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.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1306238068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BRALEY RD",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "027171126",
            "telephone_number": "508-735-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 NORTH ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402782",
            "telephone_number": "508-984-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "JOSEPH",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.