Individual provider Active NPI

Martin H Zafran, LICSW

  • Clinical Social Worker
  • West Roxbury, MA
National Provider Identifier
1073682878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103785 Issued in MA
Practice address
1895 Centre St
Suite 11
West Roxbury, MA 02132-1933
Phone
(617) 327-3399
Fax
(617) 738-1855
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 103785 MA Primary

Addresses

Primary practice location

1895 Centre St
Suite 11
West Roxbury, MA 02132-1933

Mailing address

1895 Centre St
Suite 11
West Roxbury, MA 02132-1933
Phone (617) 327-3399

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
103785MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073682878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 CENTRE ST",
            "address_2": "SUITE 11",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321933",
            "telephone_number": "617-327-3399",
            "fax_number": "617-738-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 CENTRE ST",
            "address_2": "SUITE 11",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321933",
            "telephone_number": "617-327-3399",
            "fax_number": "617-738-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFRAN",
        "first_name": "MARTIN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103785",
            "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 Jul 8, 2007; 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.