Individual provider Active NPI

Jeffrey Howard Zeizel, LICSW MSW

  • Clinical Social Worker
  • Woburn, MA
National Provider Identifier
1992850911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104128 Issued in MA
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

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 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

IdentifierTypeStateIssuer
337113OtherMAGELLAN
008241OtherHPHC PACIFIC CARE
709534OtherMATUFTS
1070350OtherNEIGHBOR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000170 MA Practitioner - Clinical Social Worker 9436127818 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
104128MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Health Resources Inc CurrentSince Jan 3, 2013 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.

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

Verify at the official NPI Registry.