Individual provider Active NPI

Patricia Ann Lazarek, LICSW

  • Clinical Social Worker
  • Worcester, MA
National Provider Identifier
1487135661
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119158 Issued in MA
Practice address
1369 Grafton St
Worcester, MA 01604-2737
Phone
(508) 373-7414
Fax
(508) 373-7449
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 119158 MA
Clinical Social Worker 1041C0700X 119158 MA Primary

Addresses

Primary practice location

1369 Grafton St
Worcester, MA 01604-2737

Mailing address

1369 Grafton St
Worcester, MA 01604-2737
Phone (508) 373-7414

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
119158MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1487135661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042737",
            "telephone_number": "508-373-7414",
            "fax_number": "508-373-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042737",
            "telephone_number": "508-373-7414",
            "fax_number": "508-373-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAREK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "119158",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.