Individual provider Active NPI

Richard J Bond Jr., LICSW

  • Social Worker
  • Plymouth, MA
National Provider Identifier
1366924722
Registry record updated Sep 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105283 Issued in MA
Practice address
34 Hatherly Rise
Plymouth, MA 02360-3598
Phone
(781) 551-3471
NPI assigned
Sep 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105283 MA Primary

Addresses

Primary practice location

34 Hatherly Rise
Plymouth, MA 02360-3598

Mailing address

34 Hatherly Rise
Plymouth, MA 02360-3598
Phone (781) 551-3471

Other practice location 1

870 Winter street
Waltham, MA 02451
Phone (781) 551-3471

Other identifiers 1

IdentifierTypeStateIssuer
105283OtherMALICENCED IND. CLINICAL SOCIAL WORKER

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

LicenseStateTypeSpecialty
105283MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1535846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535846400000",
    "number": "1366924722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HATHERLY RISE",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603598",
            "telephone_number": "781-551-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HATHERLY RISE",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603598",
            "telephone_number": "781-551-3471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Winter street",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02451",
            "country_code": "US",
            "telephone_number": "781-551-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOND",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-02",
        "last_updated": "2018-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "105283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED IND. CLINICAL SOCIAL WORKER",
            "identifier": "105283",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.