Active NPI
Kit Lussier Rainboth, LICSW
- Clinical Social Worker
- East Boston, MA
National Provider Identifier
1013536671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125591
- Practice address
- 96 Webster St Unit G
East Boston, MA 02128-2975 - Phone
- (857) 218-9617
- NPI assigned
- Apr 14, 2020
- 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 | 125591 | MA | Primary |
Addresses
Primary practice location
96 Webster St Unit G
East Boston, MA 02128-2975
Mailing address
96 Webster St Unit G
East Boston, MA 02128-2975
Phone (857) 218-9617
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125591 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1013536671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 WEBSTER ST UNIT G",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021282975",
"telephone_number": "857-218-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 WEBSTER ST UNIT G",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021282975",
"telephone_number": "857-218-9617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINBOTH",
"first_name": "KIT",
"middle_name": "LUSSIER",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-14",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.