Active NPI
Mary Ann Cucinatta
- Clinical Social Worker
- Roslindale, MA
National Provider Identifier
1073094207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1026302
- Practice address
- 515 Hyde Park Ave
Roslindale, MA 02131-3822 - Phone
- (617) 635-8123
- NPI assigned
- Aug 25, 2018
- Sex
- Female
- 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 | 1026302 | MA | Primary |
Addresses
Primary practice location
515 Hyde Park Ave
Roslindale, MA 02131-3822
Mailing address
93 Wesson Ave
Quincy, MA 02169-7411
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 |
|---|---|---|---|
| 1026302 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1073094207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 WESSON AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 HYDE PARK AVE",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313822",
"telephone_number": "617-635-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCINATTA",
"first_name": "MARY ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-25",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1026302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.