Individual provider Active NPI

Howard Jay Barsook X, SMW, LCISW

  • Clinical Social Worker
  • Brighton, MA
National Provider Identifier
1477033470
Registry record updated Aug 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020629 Issued in MA
Practice address
7 Commonwealth CT Apt 15
Brighton, MA 02135-4525
Phone
(617) 232-3084
NPI assigned
Aug 19, 2018
Last updated
Aug 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2018

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 1020629 MA Primary

Addresses

Primary practice location

7 Commonwealth CT Apt 15
Brighton, MA 02135-4525

Mailing address

30 Dimock St
Roxbury, MA 02119-1210
Phone (617) 989-2800

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

NPI Registry JSON

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1477033470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DIMOCK ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191210",
            "telephone_number": "617-989-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMONWEALTH CT APT 15",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354525",
            "telephone_number": "617-232-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOOK",
        "first_name": "HOWARD",
        "middle_name": "JAY",
        "name_suffix": "X",
        "credential": "SMW, LCISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.