Active NPI
James M Bennett, LICSW
- Social Worker
- Arlington, MA
National Provider Identifier
1316012479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106172
- Practice address
- 366 Massachusetts Avenue
Suite 304
Arlington, MA 02474-6732 - Phone
- (781) 488-0099
- Fax
- (781) 646-1066
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 106172 | MA | Primary |
Addresses
Primary practice location
366 Massachusetts Avenue
Suite 304
Arlington, MA 02474-6732
Mailing address
366 Massachusetts Avenue
Suite 304
Arlington, MA 02474-6732
Phone (781) 488-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P03996 | Other | MA | BCBS OF MA |
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 |
|---|---|---|---|
| 106172 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316012479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 MASSACHUSETTS AVENUE",
"address_2": "SUITE 304",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746732",
"telephone_number": "781-488-0099",
"fax_number": "781-646-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 MASSACHUSETTS AVENUE",
"address_2": "SUITE 304",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746732",
"telephone_number": "781-488-0099",
"fax_number": "781-646-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JAMES",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "106172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "P03996",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.