Individual provider Active NPI

Joanne Heidi Twombly, MSW

  • Clinical Social Worker
  • Waltham, MA
National Provider Identifier
1891827143
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106998 Issued in MA
Practice address
740 Main St
Room 105
Waltham, MA 02451-0607
Phone
(781) 894-1008
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 106998 MA Primary

Addresses

Primary practice location

740 Main St
Room 105
Waltham, MA 02451-0607

Mailing address

740 Main St
Room 105
Waltham, MA 02451-0607
Phone (781) 894-1008

Other identifiers 3

IdentifierTypeStateIssuer
019833OtherMAMBHP
P04638OtherMABLUE CROSS AND BLUE SHIEL
1853813OtherMDMASSHEALTH

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
I20051014000760 MA Practitioner - Clinical Social Worker 3476579806 Practice locations: Arlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Arlington, MA 02474
Phone (781) 264-2403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106998MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891827143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "address_2": "ROOM 105",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510607",
            "telephone_number": "781-894-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "address_2": "ROOM 105",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510607",
            "telephone_number": "781-894-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWOMBLY",
        "first_name": "JOANNE",
        "middle_name": "HEIDI",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "019833",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "P04638",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "1853813",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.