Individual provider Active NPI

Mary M. Bazylewicz, MSW

  • Social Worker
  • Ipswich, MA
National Provider Identifier
1669758397
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118269 Issued in MA
Practice address
36 Essex Rd
Ipswich, MA 01938-2599
Phone
(978) 356-5522
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118269 MA Primary

Addresses

Primary practice location

36 Essex Rd
Ipswich, MA 01938-2599

Mailing address

36 Essex Rd
Ipswich, MA 01938-2599
Phone (978) 356-5522

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
I20140917001242 MA Practitioner - Clinical Social Worker 7810116209 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Aug 1, 2021 Accepting new patients
Lahey Clinic, Inc CurrentSince Nov 17, 2014 Accepting new patients
Northeast Behavioral Health Corporation CurrentSince Aug 25, 2014 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Jan 4, 2021 Accepting new patients
Lahey Clinic, Inc. CurrentSince Nov 17, 2014 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients

Locations

294 Washington St
Ste 219
Boston, MA 02108
Phone (617) 426-5500

75 Francis St
Boston, MA 02115

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 867-7756

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: bazylewicz.mary.fh@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1669758397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ESSEX RD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382599",
            "telephone_number": "978-356-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ESSEX RD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382599",
            "telephone_number": "978-356-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZYLEWICZ",
        "first_name": "MARY",
        "middle_name": "M.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "118269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

Verify at the official NPI Registry.