Active NPI
Brooks Stevens, LICSW
- Social Worker
- Lexington, MA
National Provider Identifier
1679660856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1025355
- Practice address
- 76 Bedford St
Suite 21
Lexington, MA 02420-4646 - Phone
- (978) 340-3349
- Fax
- (978) 369-6877
- NPI assigned
- Oct 6, 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 | 1025355 | MA | Primary |
Addresses
Primary practice location
76 Bedford St
Suite 21
Lexington, MA 02420-4646
Mailing address
76 Bedford St
Suite 21
Lexington, MA 02420
Phone (978) 340-3349
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P22991 | Other | LA | MEDICARE PTAN |
| 1859757 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130930000459 | MA | Practitioner - Clinical Social Worker | 1254565526 | Practice locations: Lexington, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
76 Bedford St
Suite 21
Lexington, MA 02420-4641
Phone (978) 340-3349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jogohealth Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Bridgewater, NJ
- NPI 1013537349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1679660856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 BEDFORD ST",
"address_2": "SUITE 21",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02420",
"telephone_number": "978-340-3349",
"fax_number": "978-369-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 BEDFORD ST",
"address_2": "SUITE 21",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204646",
"telephone_number": "978-340-3349",
"fax_number": "978-369-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "BROOKS",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1025355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "P22991",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1859757",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.