Individual provider Active NPI

Patricia Ann Connors, M.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • West Roxbury, MA
National Provider Identifier
1033355698
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105414 Issued in MA
Practice address
20 Courtney Rd
West Roxbury, MA 02132-1044
Phone
(617) 945-3813
NPI assigned
Dec 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 105414 MA Primary

Addresses

Primary practice location

20 Courtney Rd
West Roxbury, MA 02132-1044

Mailing address

20 Courtney Rd
West Roxbury, MA 02132-1044
Phone (617) 945-3813

Other practice location 1

20 Courtney Rd
West Roxbury, MA 02132-1044
Phone (617) 945-3813

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

LicenseStateTypeSpecialty
105414MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1033355698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COURTNEY RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321044",
            "telephone_number": "617-945-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COURTNEY RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321044",
            "telephone_number": "617-945-3813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Courtney Rd",
            "address_purpose": "LOCATION",
            "city": "West Roxbury",
            "state": "MA",
            "postal_code": "021321044",
            "country_code": "US",
            "telephone_number": "617-945-3813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "M.S.W., L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.