Individual provider Active NPI

Marjorie Schwartz Thomsen, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1780169870
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1029353 Issued in MA
Practice address
264 Bay State Rd
Boston, MA 02215-1403
Phone
(617) 353-3750
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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 1029353 MA Primary

Addresses

Primary practice location

264 Bay State Rd
Boston, MA 02215-1403

Mailing address

264 Bay State Rd
Boston, MA 02215-1403
Phone (617) 353-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220000985 MA Practitioner - Clinical Social Worker 9638417447 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1029353MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services, LLC CurrentSince Jun 7, 2020 Accepting new patients
Riverside Community Care, Inc. CurrentSince Jan 5, 2019 Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

111 South St
Somerville, MA 02143
Phone (617) 284-5130

Organizations & group practices 2

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1780169870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BAY STATE RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151403",
            "telephone_number": "617-353-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BAY STATE RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151403",
            "telephone_number": "617-353-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "MARJORIE",
        "middle_name": "SCHWARTZ",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.