Individual provider Active NPI

Sawyer Bethel, MSW, LICSW

  • Clinical Social Worker
  • Norwood, MA
National Provider Identifier
1700274933
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
218933 Issued in MA
Practice address
55 Providence Hwy
Norwood, MA 02062-2647
Phone
(774) 206-1125
NPI assigned
Dec 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 218933 MA Primary

Addresses

Primary practice location

55 Providence Hwy
Norwood, MA 02062-2647

Mailing address

157 Wachusett St Apt 2
Jamaica Plain, MA 02130-4235
Phone (857) 233-6464

Other practice location 1

75 Amory St
Garden Level
Roxbury, MA 02119-1051
Phone (617) 522-0900

Other names 1

  • Stefanie Bethel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
218933MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1700274933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WACHUSETT ST APT 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304235",
            "telephone_number": "857-233-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PROVIDENCE HWY",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622647",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Amory St",
            "address_2": "Garden Level",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021191051",
            "country_code": "US",
            "telephone_number": "617-522-0900",
            "fax_number": "617-522-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "SAWYER",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-22",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "218933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "BETHEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.