Active NPI
Justin Kasarsky, LCSW, MED
- Clinical Social Worker
- Dorchester, MA
National Provider Identifier
1760887012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 220285
- Practice address
- 230 Bowdoin St
Dorchester, MA 02122-1817 - Phone
- (610) 754-0070
- Fax
- (610) 754-0210
- NPI assigned
- Oct 29, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 220285 | MA | Primary |
Addresses
Primary practice location
230 Bowdoin St
Dorchester, MA 02122-1817
Mailing address
230 Bowdoin St
Dorchester, MA 02122-1817
Phone (610) 754-0070
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)
- Enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1760887012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 BOWDOIN ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221817",
"telephone_number": "610-754-0070",
"fax_number": "610-754-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BOWDOIN ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221817",
"telephone_number": "610-754-0070",
"fax_number": "610-754-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASARSKY",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "LCSW, MED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "220285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.