Individual provider Active NPI

Paul James Tausek, MSW LICSW

  • Clinical Social Worker
  • Brewster, MA
National Provider Identifier
1679646384
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103002 Issued in MA
Practice address
25 Breakwater Rd
Brewster, MA 02631
Phone
(508) 896-4400
Fax
(508) 896-4499
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103002 MA
Clinical Social Worker 1041C0700X 103002 MA Primary

Addresses

Primary practice location

25 Breakwater Rd
Brewster, MA 02631

Mailing address

PO Box 1426
25 Breakwater Rd
Brewster, MA 02631
Phone (508) 896-4400

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
I20050915000879 MA Practitioner - Clinical Social Worker 7517990997 Practice locations: Brewer, MA; Brewster, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 Breakwater Rd
Brewster, MA 02631-1311
Phone (508) 896-4400

26 Wampum Dr
Brewer, MA 02631-1311
Phone (508) 896-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679646384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "address_2": "25 BREAKWATER RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "02631",
            "telephone_number": "508-896-4400",
            "fax_number": "508-896-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BREAKWATER RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "02631",
            "telephone_number": "508-896-4400",
            "fax_number": "508-896-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUSEK",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "103002",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

Verify at the official NPI Registry.