Individual provider Active NPI

Ned Andrew Weisman, L.I.C.S.W.

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1841265246
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104430 Issued in MA
Practice address
70 Washington Street
Suite 210
Salem, MA 01970-3510
Phone
(978) 745-3130
Fax
(978) 977-2542
NPI assigned
Feb 20, 2006
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 104430 MA Primary

Addresses

Primary practice location

70 Washington Street
Suite 210
Salem, MA 01970-3510

Mailing address

75 Hunting Rd
Needham, MA 02494-2111
Phone (781) 444-6628

Other identifiers 4

IdentifierTypeStateIssuer
008954OtherMAHARVARD PILGRIM
87726OtherMAUNITED BEHAVIORAL HEALTH
86114OtherMACIGNA BEHAVIORAL HEALTH
731634OtherMATUFTS HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20041022000537 MA Practitioner - Clinical Social Worker 7113988171 Practice locations: Salem, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

70 Washington St
Suite 210
Salem, MA 01970-3510
Phone (978) 745-3130

75 Hunting Rd
Needham, MA 02494-2111

Ned Weisman Licsw
75 Hunting Road
Needham, MA 02494-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104430MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1841265246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HUNTING RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942111",
            "telephone_number": "781-444-6628",
            "fax_number": "978-977-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WASHINGTON STREET",
            "address_2": "SUITE 210",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703510",
            "telephone_number": "978-745-3130",
            "fax_number": "978-977-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "NED",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "008954",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "87726",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "86114",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO",
            "identifier": "731634",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.