Active NPI
Alexandria Brogan
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1174077648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 160 Gould St
Suite 300
Needham, MA 02494-2313 - Phone
- (857) 274-6516
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
160 Gould St
Suite 300
Needham, MA 02494-2313
Mailing address
160 Gould St
Suite 300
Needham, MA 02494-2313
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1174077648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 GOULD ST",
"address_2": "SUITE 300",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 GOULD ST",
"address_2": "SUITE 300",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942313",
"telephone_number": "857-274-6516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "ALEXANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.