Individual provider Active NPI

Smadar Sara Babchuck, MSW, LCSW

  • Mental Health Counselor
  • Newton Center, MA
National Provider Identifier
1629056353
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2025754 Issued in MA
Practice address
206 Wiswall Rd
Newton Center, MA 02459-3544
Phone
(617) 947-1771
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2025754 MA Primary

Addresses

Primary practice location

206 Wiswall Rd
Newton Center, MA 02459-3544

Mailing address

206 Wiswall Rd
Newton Center, MA 02459-3544
Phone (617) 964-1191

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025754MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1629056353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WISWALL RD",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024593544",
            "telephone_number": "617-964-1191",
            "fax_number": "617-332-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WISWALL RD",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024593544",
            "telephone_number": "617-947-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCHUCK",
        "first_name": "SMADAR",
        "middle_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "2025754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

Verify at the official NPI Registry.