Active NPI
Toni Tugenberg, LICSW, MSW, EDM
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1669525903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 110770-1
- Practice address
- 20A Prescott St
#47
Cambridge, MA 02138-3936 - Phone
- (617) 432-1409
- Fax
- (617) 432-2565
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 110770-1 | MA | Primary |
Addresses
Primary practice location
20A Prescott St
#47
Cambridge, MA 02138-3936
Mailing address
20A Prescott St
#47
Cambridge, MA 02138-3936
Phone (617) 432-1409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO7935 | Other | MA | BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 14, 2020 through Aug 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 110770-1 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669525903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20A PRESCOTT ST",
"address_2": "#47",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383936",
"telephone_number": "617-432-1409",
"fax_number": "617-432-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20A PRESCOTT ST",
"address_2": "#47",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383936",
"telephone_number": "617-432-1409",
"fax_number": "617-432-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUGENBERG",
"first_name": "TONI",
"credential": "LICSW, MSW, EDM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "SW 110770-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "PO7935",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.