Active NPI
Paul Neustadt, M.S.S.
- Clinical Social Worker
- Lexington, MA
National Provider Identifier
1487707493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW102945-1
- Practice address
- 38 Albemarle Ave
Lexington, MA 02420-3002 - Phone
- (781) 652-8121
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW102945-1 | MA | Primary |
Addresses
Primary practice location
38 Albemarle Ave
Lexington, MA 02420-3002
Mailing address
38 Albemarle Ave
Lexington, MA 02420-3002
Phone (781) 652-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO1363 | Other | MA | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW102945-1 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487707493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ALBEMARLE AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203002",
"telephone_number": "781-652-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 ALBEMARLE AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203002",
"telephone_number": "781-652-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUSTADT",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "M.S.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "SW102945-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PO1363",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.