Active NPI
Christine M Czernik, MSW, LICSW
- Clinical Social Worker
- Newburyport, MA
National Provider Identifier
1851433494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1026022
- Practice address
- 1 Merrimac St
# 16
Newburyport, MA 01950-2558 - Phone
- (978) 462-2022
- Fax
- (978) 462-3900
- NPI assigned
- Feb 12, 2007
- Last updated
- Feb 3, 2022
- 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 | 1026022 | MA | Primary |
Addresses
Primary practice location
1 Merrimac St
# 16
Newburyport, MA 01950-2558
Mailing address
32 Water St
#7
Newburyport, MA 01950-2726
Phone (978) 402-2022
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050802000469 | MA | Practitioner - Clinical Social Worker | 2365470184 | Practice locations: Newbury, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28 Green St
Newbury, MA 01951-1721
Phone (978) 518-6556
30 Rolfes LN
Apt 4a
Newbury, MA 01951-1226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1851433494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WATER ST",
"address_2": "#7",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502726",
"telephone_number": "978-402-2022",
"fax_number": "978-462-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERRIMAC ST",
"address_2": "# 16",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502558",
"telephone_number": "978-462-2022",
"fax_number": "978-462-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZERNIK",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1026022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.