Individual provider Active NPI

Beth Nassozi, LICSW

  • Clinical Social Worker
  • Natick, MA
National Provider Identifier
1528470002
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118041 Issued in MA
Practice address
17 Irving Rd
Natick, MA 01760-1242
Phone
(617) 213-0727
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 118041 MA Primary

Addresses

Primary practice location

17 Irving Rd
Natick, MA 01760-1242

Mailing address

17 Irving Rd
Natick, MA 01760-1242
Phone (617) 213-0727

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL bnassozi@wellspringrestorative.com Direct
CONNECT URL NATICK Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Restorative Counseling LLC Clinical CurrentSince Jul 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1528470002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 IRVING RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601242",
            "telephone_number": "617-213-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 IRVING RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601242",
            "telephone_number": "617-213-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSOZI",
        "first_name": "BETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bnassozi@wellspringrestorative.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17 IRVING RD",
            "city": "NATICK",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017601242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NATICK",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17 IRVING RD",
            "city": "NATICK",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017601242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.