Jeanne Bazelak, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00163 Issued in RI

Practice address

1308 Atwood Ave
Johnston, RI 02919-4936

Phone

(401) 942-8449

NPI assigned

Jan 1, 2007

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

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1801952924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194936",
            "telephone_number": "401-527-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194936",
            "telephone_number": "401-942-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZELAK",
        "first_name": "JEANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Bates
• Michael A Battey, DPM
• Holly Batura, LICSW
• Gianna Ryan Bautista, B.A., CPD
• Marcel Abel Bavoux, D.O.
• John McKenzie Bean, MA,LMHC
• Melissa Beattie, LCSW
• Arlene Beckles
• Tara Behan
• Michael James Belanger, M.D.

• Clinical Social Worker in Johnston, RI
• Providers in Johnston, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.