Individual provider Active NPI

James Biedak, LICSW

  • Social Worker
  • New Bedford, MA
National Provider Identifier
1699284851
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113105 Issued in MA
Practice address
226 Field St
New Bedford, MA 02740-2133
Phone
(150) 881-7512
Fax
(508) 817-5129
NPI assigned
Sep 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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 113105 MA Primary

Addresses

Primary practice location

226 Field St
New Bedford, MA 02740-2133

Mailing address

226 Field St
New Bedford, MA 02740-2133
Phone (508) 817-5129

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
I20171128000605 MA Practitioner - Clinical Social Worker 8921365008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

116 Belmont St
RM 26
Worcester, MA 01605-2964
Phone (508) 979-5557

226 -230 Field St
New Bedford, MA 02740-2133
Phone (508) 817-5129

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

67 Union St
Natick, MA 01760-7700
Phone (508) 817-5129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113105MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC CurrentSince Oct 18, 2017 Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

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.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1699284851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FIELD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402133",
            "telephone_number": "15088175129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 FIELD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402133",
            "telephone_number": "150-881-7512",
            "fax_number": "508-817-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEDAK",
        "first_name": "JAMES",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "113105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.