Andrew Avault, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

220578 Issued in MA

Practice address

105 Chauncy St Ste 602
Boston, MA 02111-1726

Phone

(617) 467-0521

Fax

(617) 467-0521

NPI assigned

Oct 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1033620562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391715",
            "telephone_number": "617-467-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHAUNCY ST STE 602",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111726",
            "telephone_number": "617-467-0521",
            "fax_number": "617-467-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAULT",
        "first_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "220578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Home Care Agency Inc
• Vanessa Dana Avalone
• Ingrid Beatriz Avalos, MD
• Avanti Eyewear
• Mehak Avasthi
• Mersiha Avdic, DMD
• John David Avedian
• Ella Avedikian, LCSW
• Jeffrey Aveni
• Shannon L Avery-Desmarais, MSN, NP-C

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.