Active NPI
Janet E. Bernard, LICSW
- Social Worker
- North Chelmsford, MA
National Provider Identifier
1588616320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104919
- Practice address
- 73 Princeton St Ste 310
North Chelmsford, MA 01863-1559 - Phone
- (978) 244-1264
- NPI assigned
- May 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 104919 | MA | Primary |
Addresses
Primary practice location
73 Princeton St Ste 310
North Chelmsford, MA 01863-1559
Mailing address
1201 Westford St # U2-a
Lowell, MA 01851-5225
Phone (978) 244-1264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P03050 | Other | MA | BLUE CROSS |
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 |
|---|---|---|---|
| 104919 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1588616320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WESTFORD ST # U2-A",
"city": "LOWELL",
"state": "MA",
"postal_code": "018515225",
"telephone_number": "978-244-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 PRINCETON ST STE 310",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018631559",
"telephone_number": "978-244-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "JANET",
"middle_name": "E.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "104919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "P03050",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.