Individual provider Active NPI

Judith P Bari, L.C.S.W.

  • Clinical Social Worker
  • Hyannis, MA
National Provider Identifier
1922257161
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
215044 Issued in MA
Practice address
60 Perseverance Way
Hyannis, MA 02601-1843
Phone
(508) 815-5119
NPI assigned
Sep 11, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 215044 MA Primary

Addresses

Primary practice location

60 Perseverance Way
Hyannis, MA 02601-1843

Mailing address

PO Box 333
Harwich, MA 02645-0333
Phone (508) 815-5119

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
I20120510000260 MA Practitioner - Clinical Social Worker 8123280070 Practice locations: S. Yarmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 B2 White's Path
S. Yarmouth, MA 02664
Phone (508) 241-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215044MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1922257161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026450333",
            "telephone_number": "508-815-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PERSEVERANCE WAY",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011843",
            "telephone_number": "508-815-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARI",
        "first_name": "JUDITH",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.