Active NPI
Maureen Holliday, LICSW
- Clinical Social Worker
- Jamaica Plain, MA
National Provider Identifier
1124180740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113860
- Practice address
- 150 S Huntington Ave
Jamaica Plain, MA 02130-4817 - Phone
- (774) 826-2340
- NPI assigned
- Dec 14, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 453 | MA | |
| Clinical Social Worker | 1041C0700X | 210305 | MA | |
| VA Clinic/Center | 261QV0200X | 248524 | MA | |
| Clinical Social Worker | 1041C0700X | 113860 | MA | Primary |
Addresses
Primary practice location
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Mailing address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Phone (774) 826-2340
Other names 1
- Ms. Maureen Rufino
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 453 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 113860 | MA | MD | Clinical Social Worker |
| 210305 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1124180740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "774-826-2340",
"fax_number": "774-826-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "774-826-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "453",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "210305",
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": "MA",
"license": "248524",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "RUFINO",
"prefix": "MS.",
"credential": "LICSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.