Kathleen M Crehan, LISCW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1032771 Issued in MA

Practice address

170 Morton St
11 North
Jamaica Plain, MA 02130-3735

Phone

(857) 294-1051

NPI assigned

Jul 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Victory Programs, Inc.

  • Case Management Agency
  • Boston, MA
  • NPI 1033949052
  NPD (past)
• Victory Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Jamaica Plain, MA
  • NPI 1770604472
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1154586626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182613",
            "telephone_number": "857-294-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "address_2": "11 NORTH",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "857-294-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREHAN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "LISCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "208",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1032771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cox, MSW, LICSW
• Sarah Coe Cox
• Sarah P Coyne, CCLS
• Marissa Crasnow
• Jean Crawford, PHD, LMT
• Brianne Crocker, M.A.
• Katherine Marie Crocker, P.A.-C
• Janet McIsaac Cromer, LMHC, RN
• Julie Croteau
• Prentice Crowell

• Social Worker in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.