Individual provider Active NPI

Tyler Joseph Zakrzewski, RBT

  • Clinical Social Worker
  • Norwell, MA
National Provider Identifier
1740039478
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RBT-23-299071 Issued in MA
Practice address
72 Accord Park Dr
Norwell, MA 02061-1606
Phone
(781) 923-0900
NPI assigned
May 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 RBT-23-299071 MA Primary

Addresses

Primary practice location

72 Accord Park Dr
Norwell, MA 02061-1606

Mailing address

74 Taylor St Apt 1
Quincy, MA 02170-1500
Phone (508) 404-3074

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
RBT-23-299071MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Pediatrics, LLC PastSince May 19, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1740039478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 TAYLOR ST APT 1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701500",
            "telephone_number": "508-404-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ACCORD PARK DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611606",
            "telephone_number": "781-923-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKRZEWSKI",
        "first_name": "TYLER",
        "middle_name": "JOSEPH",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "RBT-23-299071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.