Bruce Wayne Augustonovich

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

12 Methuen St
Lawrence, MA 01840-1700

Phone

(978) 620-1719

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Full Life Counseling LLC

  • Clinical Social Worker
  • Amesbury, MA
  • NPI 1356006118

  Clinical, MA

  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1366971129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 METHUEN ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 METHUEN ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401700",
            "telephone_number": "978-620-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTONOVICH",
        "first_name": "BRUCE",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Atwood, MS, RD, LDN
• Jose-Marly Aubin
• Stephanie Audifre, LMT
• Francis Audy
• Carolyn L Augart, MD
• Jimilette Avalos
• Avenir Ventures LLC
• Lindsay Averbook
• Maria Mercedes Avila, MSW, LICSW
• Aleisha Ayala Cotto

• All providers in Lawrence, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.

Verify at the official NPI Registry.