Individual provider Active NPI

Megan Blomberg, MSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1588222947
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
105 Chauncy St
Boston, MA 02111-1726
Phone
(781) 299-0364
Fax
(617) 482-0705
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 Primary

Addresses

Primary practice location

105 Chauncy St
Boston, MA 02111-1726

Mailing address

105 Chauncy St
Boston, MA 02111-1726
Phone (781) 299-0364

Other practice location 1

349 Broadway
Cambridge, MA 02139-1715
Phone (781) 299-0364

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
I20200413001700 MA Practitioner - Clinical Social Worker 3779913868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Institute for Health and Recovery IncGroup PAC ID 6507171519, 5 clinicians

Practice addresses (Care Compare)

75 N Beacon St
Suite 2
Watertown, MA 02472-2671
Phone (617) 661-3991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225557MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Health and Recovery Inc CurrentSince Mar 10, 2020 Accepting new patients

Locations

105 Chauncy St
Ste 602
Boston, MA 02111
Phone (617) 467-0521

349 Broadway
Cambridge, MA 02139

75 North Beacon St
Ste 2
Watertown, MA 02472
Phone (617) 850-2093

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/healthrecovery/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1588222947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHAUNCY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111726",
            "telephone_number": "781-299-0364",
            "fax_number": "617-482-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHAUNCY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111726",
            "telephone_number": "781-299-0364",
            "fax_number": "617-482-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 Broadway",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391715",
            "country_code": "US",
            "telephone_number": "781-299-0364",
            "fax_number": "617-661-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOMBERG",
        "first_name": "MEGAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.