Active NPI
Ludger Labissiere, MSW
- Clinical Social Worker
- Milton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 58 Dyer Ave
Milton, MA 02186-1512 - Phone
- (617) 678-7492
- Fax
- (617) 322-3904
- NPI assigned
- Nov 1, 2012
- Last updated
- Nov 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
58 Dyer Ave
Milton, MA 02186-1512
Mailing address
58 Dyer Ave
Milton, MA 02186-1512
Phone (617) 678-7492
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
225 Quincy Ave
Brockton, MA 02302-2864
Phone (888) 763-7272
695 Truman Hwy
Hyde Park, MA 02136-3552
Phone (888) 763-7272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Outreach Wellness Center LLC | Current | Accepting new patients | |
| Ubhs - Unlimited Behavioral Health Services Inc | Clinical | Current | Accepting new patients |
| Tcfwc - the Child and Family Wellness Center LLC | Current | Accepting new patients | |
| Reunited | Past | Accepting new patients |
Locations
225 Quincy Ave
Brockton, MA 02302
Phone (508) 510-5940
1234 Hyde Park Ave
Ste 202
Hyde Park, MA 02136
Phone (617) 364-6200
695 Truman Hwy
Hyde Park, MA 02136
Phone (617) 361-1470
1354 Hancock St
Ste 205
Quincy, MA 02169
Phone (857) 939-4445
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1912412172
-
- Social Worker
- Quincy, MA
- NPI 1346009453
-
- Community/Behavioral Health Agency
- Brockton, MA
- NPI 1497339634
Clinical
-
- Mental Health Counselor
- Brockton, MA
- NPI 1548715964
-
- Community/Behavioral Health Agency
- Brockton, MA
- NPI 1245771187
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Quincy, MA
- NPI 1124731476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1366796070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 DYER AVE",
"city": "MILTON",
"state": "MA",
"postal_code": "021861512",
"telephone_number": "617-678-7492",
"fax_number": "617-322-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 DYER AVE",
"city": "MILTON",
"state": "MA",
"postal_code": "021861512",
"telephone_number": "617-678-7492",
"fax_number": "617-322-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABISSIERE",
"first_name": "LUDGER",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-01",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.