Active NPI
Donna Moriarty Allen
- Clinical Social Worker
- Belmont, MA
National Provider Identifier
1114409877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1017842
- Practice address
- 84 Radcliffe Rd
Belmont, MA 02478-3340 - Phone
- (617) 484-0937
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 1017842 | MA | Primary |
Addresses
Primary practice location
84 Radcliffe Rd
Belmont, MA 02478-3340
Mailing address
84 Radcliffe Rd
Belmont, MA 02478-3340
Phone (617) 484-0937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017942 | Other | MA | SW LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1114409877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 RADCLIFFE RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783340",
"telephone_number": "617-484-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 RADCLIFFE RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783340",
"telephone_number": "617-484-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DONNA",
"middle_name": "MORIARTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1017842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SW LICENSE",
"identifier": "1017942",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.