Individual provider Active NPI

Annie Rotner, LCSW

  • Social Worker
  • Boston, MA
National Provider Identifier
1154053072
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
185 Pilgrim Rd # Baker2
Boston, MA 02215-5324
Phone
(617) 632-0227
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

185 Pilgrim Rd # Baker2
Boston, MA 02215-5324

Mailing address

15 Elm St
Brookline, MA 02445-6813
Phone (917) 509-6655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arotner@bidmc.harvard.edu Direct Beth Israel Deaconess Medical Center, INC.

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1154053072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ELM ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456813",
            "telephone_number": "917-509-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PILGRIM RD # BAKER2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155324",
            "telephone_number": "617-632-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTNER",
        "first_name": "ANNIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arotner@bidmc.harvard.edu",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Beth Israel Deaconess Medical Center, INC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "185 Pilgrim Rd # Baker2",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022155324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.