Active NPI
Dominie Laura Piaseczynski, LICSW
- Clinical Social Worker
- Reading, MA
National Provider Identifier
1750689808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113674
- Practice address
- 36 Woburn St
Reading, MA 01867-2973 - Phone
- (781) 942-9277
- Fax
- (781) 944-6535
- NPI assigned
- Mar 13, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113674 | MA | Primary |
Addresses
Primary practice location
36 Woburn St
Reading, MA 01867-2973
Mailing address
36 Woburn St
Reading, MA 01867-2973
Phone (781) 942-9277
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
| License | State | Type | Specialty |
|---|---|---|---|
| 113674 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1750689808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WOBURN ST",
"city": "READING",
"state": "MA",
"postal_code": "018672973",
"telephone_number": "781-942-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WOBURN ST",
"city": "READING",
"state": "MA",
"postal_code": "018672973",
"telephone_number": "781-942-9277",
"fax_number": "781-944-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIASECZYNSKI",
"first_name": "DOMINIE",
"middle_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-13",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.