Individual provider Active NPI

Tasha Nicole Baizerman, LICSW

  • School Social Worker
  • Boston, MA
National Provider Identifier
1972086163
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
115271 Issued in MA
Practice address
396 Northampton St
Boston, MA 02118-3502
Phone
(617) 635-9832
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 115271 MA Primary

Addresses

Primary practice location

396 Northampton St
Boston, MA 02118-3502

Mailing address

62 Everett St Apt 1
East Boston, MA 02128-2104
Phone (339) 222-2428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115271MAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1972086163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 EVERETT ST APT 1",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282104",
            "telephone_number": "339-222-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 NORTHAMPTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183502",
            "telephone_number": "617-635-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIZERMAN",
        "first_name": "TASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "115271",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.