Active NPI
Jeffrey Howard Zeizel, LICSW MSW
- Clinical Social Worker
- Woburn, MA
National Provider Identifier
1992850911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104128
- Practice address
- 3 Baldwin Green Common
Suite 303
Woburn, MA 01801 - Phone
- (781) 932-0257
- Fax
- (781) 932-6727
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 104128 | MA | Primary |
Addresses
Primary practice location
3 Baldwin Green Common
Suite 303
Woburn, MA 01801
Mailing address
3 Baldwin Green Common
Suite 303
Woburn, MA 01801
Phone (781) 932-0257
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337113 | Other | MAGELLAN | |
| 008241 | Other | HPHC PACIFIC CARE | |
| 709534 | Other | MA | TUFTS |
| 1070350 | Other | NEIGHBOR HEALTH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Baldwin Green CMN
Suite 303
Woburn, MA 01801-1870
Phone (781) 932-0256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104128 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Health Resources Inc | Current | Accepting new patients | |
| Harbormed LLC | Past | Accepting new patients |
Locations
246 Walnut St
Ste 104
Newtonville, MA 02460
Phone 6172443322104
3 Baldwin Green Cmn
Ste 303
Woburn, MA 01801
Phone (781) 932-0256
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woburn, MA
- NPI 1356488381
-
- General Practice Physician
- Quincy, MA
- NPI 1629497417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992850911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BALDWIN GREEN COMMON",
"address_2": "SUITE 303",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-932-0257",
"fax_number": "781-932-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BALDWIN GREEN COMMON",
"address_2": "SUITE 303",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-932-0257",
"fax_number": "781-932-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEIZEL",
"first_name": "JEFFREY",
"middle_name": "HOWARD",
"credential": "LICSW MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "104128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "337113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC PACIFIC CARE",
"identifier": "008241",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "709534",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBOR HEALTH",
"identifier": "1070350",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.