Individual provider Active NPI

Marcia Weissmann, LICSW

  • Clinical Social Worker
  • Needham, MA
National Provider Identifier
1861985764
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111315 Issued in MA
Practice address
220 Reservoir St Ste 21
Needham, MA 02494-3133
Phone
(781) 449-1143
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 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 111315 MA Primary

Addresses

Primary practice location

220 Reservoir St Ste 21
Needham, MA 02494-3133

Mailing address

83 Main St
Norfolk, MA 02056-1416
Phone (508) 932-6018

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
I20230830002636 MA Practitioner - Clinical Social Worker 3476916008 Practice locations: Norfolk, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111315MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1861985764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MAIN ST",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561416",
            "telephone_number": "508-932-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RESERVOIR ST STE 21",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943133",
            "telephone_number": "781-449-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMANN",
        "first_name": "MARCIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.