Family Intervention Team Fit LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

FAMILY INTERVENTION TEAM FIT LLC

Practice address

1534 Tremont St
Roxbury Crossing, MA 02120-2929

Phone

(781) 330-9357

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Roscoe Gorham Jr., LICSWNPI 1124208038

Title

Clinical Director

Phone

(781) 330-9357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roscoe Gorham, LICSW, CADAC

  • Clinical Social Worker
  • Waltham, MA
  • NPI 1124208038
  NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1013779800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 REYEM ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535401",
            "telephone_number": "781-330-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 TREMONT ST",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202929",
            "telephone_number": "781-330-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INTERVENTION TEAM FIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "ROSCOE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "781-330-9357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Gerald Miley
• Ashley Caroline Drinker, OTR L
• Lucianaga Renee Edwards
• Eric J. Woodard, MD PC
• Katherine Elizabeth Esau, PHARMD
• David Parker Faxon, M.D.
• Lauren M Flanagan, MSPT
• Frank F Rand MD
• Rosangela Fuentes
• Carol Genereux, NP

• Social Worker in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.