Active NPI
Jorge Cardona
- Clinical Social Worker
- Charlestown, MA
National Provider Identifier
1174130330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 73 High St
Charlestown, MA 02129-3026 - Phone
- (617) 724-8135
- NPI assigned
- Sep 30, 2020
- Last updated
- Sep 30, 2020
- Sex
- Male
- 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
73 High St
Charlestown, MA 02129-3026
Mailing address
18 Nonquit St
Boston, MA 02125-2312
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mgh |
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": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1174130330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NONQUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021252312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 HIGH ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021293026",
"telephone_number": "617-724-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "JORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mgh",
"affiliation": "N",
"address_1": "73 High St",
"city": "Charlestown",
"state": "MA",
"country_code": "US",
"postal_code": "021293026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.