Tammy Sophia Weitzman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115481 Issued in MA

Practice address

377 Commonwealth Ave Ste 4
Boston, MA 02115-1800

Phone

(857) 294-6166

NPI assigned

Dec 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tammy Sophia Weitzman Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Signature Healthcare PLLCGroup PAC ID 3476678053, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.21 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

64.05

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19260/brand/1/csg/1/fhir/r4
• Direct secure messaging: tammy.weitzman.1@19260.direct.athenahealth.com

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.

• Signature Healthcare PLLC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1588602411
  Medicare reassignment Care Compare group NPD
• Boston Evening Therapy Associates, LLC

  • Social Worker
  • Brookline, MA
  • NPI 1881844975
  NPD (past)

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1720357460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 COMMONWEALTH AVE STE 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151800",
            "telephone_number": "857-294-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 COMMONWEALTH AVE STE 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151800",
            "telephone_number": "857-294-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZMAN",
        "first_name": "TAMMY",
        "middle_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "WEITZMAN",
            "middle_name": "SOPHIA",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kenneth R Weissman, MD
• Laura T Weissman, M.D.
• Alan B Weitberg, M.D.
• Merrill Weitzel, MD
• James I Weitzman, M.D.
• Emma Lorraine Weizenbaum, PHD
• Brigid M. Welber, RN, CRNA
• Joshua Welborne, DDS
• Claire Jeanne Welch, LICSW
• Finnian Charles Welch

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.

Verify at the official NPI Registry.