Active NPI
Robert L Weiss, L.I.C.S.W.
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1962541870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1019755
- Practice address
- 45 Newbury St Ste 208
Boston, MA 02116-3146 - Phone
- (617) 633-0764
- Fax
- (617) 531-2072
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- 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 | 1019755 | MA | Primary |
Addresses
Primary practice location
45 Newbury St Ste 208
Boston, MA 02116-3146
Mailing address
16 Cimino Rd
Needham, MA 02494-1937
Phone (617) 633-0764
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P06210 | Other | MA | BLUE CROSS BLUE SHIELD |
| 405448 | Other | MA | TUFTS |
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 |
|---|---|---|---|---|
| I20070925000181 | MA | Practitioner - Clinical Social Worker | 3072607878 | Practice locations: Needham, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16 Cimino Rd
Needham, MA 02494-1937
Phone (617) 633-0764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1019755 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1962541870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CIMINO RD",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941937",
"telephone_number": "617-633-0764",
"fax_number": "781-559-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NEWBURY ST STE 208",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163146",
"telephone_number": "617-633-0764",
"fax_number": "617-531-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1019755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P06210",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "405448",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.