Individual provider Active NPI

Linda R. Puretz, MSW, LICSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1568438901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100513 Issued in MA
Practice address
28 Halcyon Rd
Newton, MA 02459-2432
Phone
(617) 243-0493
Fax
(617) 964-2675
NPI assigned
Feb 26, 2006
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 100513 MA Primary

Addresses

Primary practice location

28 Halcyon Rd
Newton, MA 02459-2432

Mailing address

28 Halcyon Rd
Newton, MA 02459-2432
Phone (617) 243-0493

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
I20070403000571 MA Practitioner - Clinical Social Worker 1951405794 Practice locations: Brookline, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 Beacon St
Apt 1405
Brookline, MA 02446-4631
Phone (617) 943-9598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Heatlh Services, LLC Clinical Past 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": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568438901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HALCYON RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592432",
            "telephone_number": "617-243-0493",
            "fax_number": "617-964-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HALCYON RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592432",
            "telephone_number": "617-243-0493",
            "fax_number": "617-964-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURETZ",
        "first_name": "LINDA",
        "middle_name": "R.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.