Amanda Coughlin, LICSW, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

120894 Issued in MA

Practice address

475 Franklin St Ste 101
Framingham, MA 01702

Phone

(508) 875-3100

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Family Service of Metrowest

  • Community/Behavioral Health Agency
  • Framingham, MA
  • NPI 1164637740
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1043707664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST STE 101",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026236",
            "telephone_number": "508-875-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST STE 101",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-875-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Russell Rd Unit 205",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024824300",
            "country_code": "US",
            "telephone_number": "617-899-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "AMANDA",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "120894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER, COMMUNITY/BEHAVIORAL HEALTH",
            "identifier": "1164637740",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Michelle Cote
• Meghan Cote
• Juan Manuel Cotte Cabarcas, MD
• Colleen Cotter
• Lydia Cottrell
• Deborah Kung Coughlin, LICSW
• Erin Coulson
• Courtney Charadi Council, MA, MS
• Countryside Nursing Home, Inc
• Carol Renee Counts Robinson, PHD, PMHNP-BC,ANP-BC

• Social Worker in Framingham, MA
• Providers in Framingham, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.