Elissa Maria Hatton, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105096 Issued in MA

Practice address

243 Charles St
Boston, MA 02114-3002

Phone

(617) 573-4042

Fax

(617) 573-3522

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1124527106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FULTON RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202318",
            "telephone_number": "339-223-9275",
            "fax_number": "617-573-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-4042",
            "fax_number": "617-573-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTON",
        "first_name": "ELISSA",
        "middle_name": "MARIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "105096",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Mason Hatlelid
• Frances B. Hatling
• Shilpa M Hattangadi, MD
• Mariana Nidal Hattar, MD
• Paul Andrew Hattis, M.D.
• Mark P Hatton
• Kenai Hattori, NP
• Mark L Hatzenbuehler, MS
• Jane E Hatzikonstantis, DPT
• Herbert HK Hau, DMD

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.