Individual provider Active NPI

Caitlin O'Gallagher Vinter, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1073946869
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119964 Issued in MA
Practice address
112 Water St Ste 203
Boston, MA 02109-4225
Phone
(857) 293-9875
Fax
(857) 250-4379
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

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 119964 MA Primary

Addresses

Primary practice location

112 Water St Ste 203
Boston, MA 02109-4225

Mailing address

112 Water St Ste 203
Boston, MA 02109-4225
Phone (857) 293-9875

Other practice location 1

1601 Washington St
Boston, MA 02118-1951
Phone (617) 425-2000 ext. 7618

Other names 1

  • Caitlin Jessie O'Gallagher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Era Psychotherapy, PLLC Clinical Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512777600000",
    "number": "1073946869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WATER ST STE 203",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094225",
            "telephone_number": "857-293-9875",
            "fax_number": "857-250-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATER ST STE 203",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094225",
            "telephone_number": "857-293-9875",
            "fax_number": "857-250-4379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021181951",
            "country_code": "US",
            "telephone_number": "617-425-2000 x7618",
            "fax_number": "617-425-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINTER",
        "first_name": "CAITLIN",
        "middle_name": "O'GALLAGHER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2017-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "O'GALLAGHER",
            "middle_name": "JESSIE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.