Individual provider Active NPI

Joanie A. Piken I, M.S.W.

  • Clinical Social Worker
  • Newton Centre, MA
National Provider Identifier
1477538650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1015676 Issued in MA
Practice address
1400 Centre St
Suite 105
Newton Centre, MA 02459-2454
Phone
(617) 527-5252
Fax
(617) 558-7685
NPI assigned
Dec 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1015676 MA Primary

Addresses

Primary practice location

1400 Centre St
Suite 105
Newton Centre, MA 02459-2454

Mailing address

1400 Centre St
Suite 105
Newton Centre, MA 02459-2454
Phone (617) 527-5252

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000005 MA Practitioner - Clinical Social Worker 7113926460 Practice locations: Needham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 Andrea Cir
Needham, MA 02494-1369
Phone (617) 527-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1015676MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1134259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477538650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST",
            "address_2": "SUITE 105",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592454",
            "telephone_number": "617-527-5252",
            "fax_number": "617-558-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST",
            "address_2": "SUITE 105",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592454",
            "telephone_number": "617-527-5252",
            "fax_number": "617-558-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKEN",
        "first_name": "JOANIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

Verify at the official NPI Registry.