MR. TIMOTHY MICHAEL MUNZERT (NPI# 1336772854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336772854 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MICHAEL MUNZERT |
| Credential | LICSW |
| Practice Address |
840 Harrison Ave Boston MA 02118-2905 |
| Mailing Address |
1 Boston Medical Ctr Pl Ste 1 Boston MA 02118-2999 |
| Practice Telephone | 6174145218 |
| Mailing Telephone | 7817242653 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
640297 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PROFESSIONAL LICESNSE NUMBER | 340297 | 01 |
| Street Address |
840 HARRISON AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164419586 | Alan Minora Fujii | Pediatrics | 840 Harrison Ave, Menino 3, Boston, MA 02118-2905 | 2005-09-30 |
| 1295352821 | Nicole Lynn Kiley | Physician Assistant | 840 Harrison Ave, Boston, MA 02118-2905 | 2020-06-30 |
| 1427697721 | Chekwube Jacinta Nwabueze | Social Worker | 840 Harrison Ave, Boston, MA 02118-2905 | 2020-01-03 |
| 1164076766 | Taneequa Fields | Social Worker | 840 Harrison Ave, Boston, MA 02118-2905 | 2019-07-31 |
| 1740740430 | Rebecca Darby | Physician Assistant | 840 Harrison Ave, Radiology - Boston Medical Center, Boston, MA 02118-2905 | 2019-03-20 |
| 1407330160 | Lisa Barmak | Social Worker | 840 Harrison Ave, Boston, MA 02118-2905 | 2018-09-19 |
| 1912494857 | Amanda Breslin Wright | Social Worker | 840 Harrison Ave, Boston, MA 02118-2905 | 2018-04-17 |
| 1073018743 | Kristan Scott | Student in an Organized Health Care Education/Training Program | 840 Harrison Ave, Department of Pediatrics, Dowling 3 South, Boston, MA 02118 | 2018-03-26 |
| 1619472347 | Laura Fletcher | Social Worker | 840 Harrison Ave, Boston, MA 02118-2905 | 2018-03-26 |
| 1295247336 | Robyn Michele Kitchell | Physician Assistant | 840 Harrison Ave, Menino Building, Boston, MA 02118 | 2017-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854635 | Linda Arian | Social Worker | 38 Fairfield St Apt 6, Boston, MA 02116-2537 | 2020-09-03 |
| 1376152306 | Sasha Brown | Social Worker | 21 Tileston St Apt 1, Boston, MA 02113-1965 | 2020-07-27 |
| 1639787898 | Catherine Delano | Social Worker | 20 Cumberland St, Boston, MA 02115-5306 | 2020-07-14 |
| 1093332462 | Lauren Bachman-streitfield | Social Worker | 32 Fruit St Ste 4b, Boston, MA 02114-2620 | 2020-07-01 |
| 1992322606 | Melissa Ann Stadler | Social Worker | 9247 S Hill Rd, Boston, NY 14025-9788 | 2020-06-29 |
| 1942827662 | Kaitlin Silkowitz | Social Worker | 271 Dartmouth St Apt 4i, Boston, MA 02116-2828 | 2020-06-29 |
| 1154942233 | Raiza Alyssa Felicitas | Social Worker | 250 Rutherford Ave, Boston, MA 02129-2925 | 2020-04-30 |
| 1396372561 | Sarah Coburn | Social Worker | 185 Pilgrim Rd # Baker217, Boston, MA 02215-5324 | 2020-03-26 |
| 1235764887 | Stephen Santos | Social Worker | 12 Chesterton St, Boston, MA 02119-2906 | 2020-03-04 |
| 1285265025 | Hui Wang | Social Worker | 185 Pilgrim Rd # Baker218, Boston, MA 02215-5324 | 2020-01-30 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.