Active NPI
Michelle Bendowski, LICSW
- Clinical Social Worker
- Newton, MA
National Provider Identifier
1578533634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105294
- Practice address
- 2364 Washington St
Newton, MA 02462-1440 - Phone
- (617) 332-2047
- Fax
- (617) 332-7341
- NPI assigned
- Jan 23, 2006
- Last updated
- Apr 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 105294 | MA | Primary |
Addresses
Primary practice location
2364 Washington St
Newton, MA 02462-1440
Mailing address
2364 Washington St
Newton, MA 02462-1440
Phone (617) 332-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO3322 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105294 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1578533634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2364 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621440",
"telephone_number": "617-332-2047",
"fax_number": "617-332-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2364 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621440",
"telephone_number": "617-332-2047",
"fax_number": "617-332-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDOWSKI",
"first_name": "MICHELLE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "105294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PO3322",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.