Individual provider Active NPI

Benjamin F Thompson, MSW LICSW BCD

  • Social Worker
  • Leeds, MA
National Provider Identifier
1861506966
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105276 Issued in MA
Practice address
38 Mulberry Street
P.O. Box 479
Leeds, MA 01053
Phone
(413) 585-9452
Fax
(413) 585-9452
NPI assigned
Aug 18, 2006
Last updated
Jan 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105276 MA Primary

Addresses

Primary practice location

38 Mulberry Street
P.O. Box 479
Leeds, MA 01053

Mailing address

38 Mulberry Street
P.O. Box 479
Leeds, MA 01053
Phone (413) 585-9452

Other identifiers 1

IdentifierTypeStateIssuer
P03324OtherBC/BS P03324

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
I20050927001428 MA Practitioner - Clinical Social Worker 1456386630 Practice locations: Leeds, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

38 Mulberry St
Leeds, MA 01053-5321
Phone (413) 585-9452

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1861506966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MULBERRY STREET",
            "address_2": "P.O. BOX 479",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "01053",
            "telephone_number": "413-585-9452",
            "fax_number": "413-585-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MULBERRY STREET",
            "address_2": "P.O. BOX 479",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "01053",
            "telephone_number": "413-585-9452",
            "fax_number": "413-585-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BENJAMIN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MSW LICSW BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "105276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS P03324",
            "identifier": "P03324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, MA

Sources for this page

Verify at the official NPI Registry.