Organization Active NPI

Fathers' Uplift Family Group, LLC

  • Clinical Social Worker
  • Dorchester, MA
National Provider Identifier
1174975452
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119702 Issued in MA
Legal business name
FATHERS' UPLIFT FAMILY GROUP, LLC
Practice address
12 Southern Ave
Dorchester, MA 02124-2012
Phone
(617) 708-0870
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Samantha FilsNPI 1821490491
Title
Coo
Phone
(617) 987-5994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 119702 MA Primary

Addresses

Primary practice location

12 Southern Ave
Dorchester, MA 02124-2012

Mailing address

12 Southern Ave
Dorchester, MA 02124-2012
Phone (617) 708-0870

Other practice location 1

1640 Race St
Cincinnati, OH 45202-6416
Phone (617) 708-0870

National Provider Directory

National Provider Directory

Locations

100A Warren St
Boston, MA 02119
Phone (617) 708-0870

12 Southern Ave
Dorchester Center, MA 02124
Phone (617) 708-0870

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1174975452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SOUTHERN AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242012",
            "telephone_number": "617-708-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SOUTHERN AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242012",
            "telephone_number": "617-708-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Race St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452026416",
            "country_code": "US",
            "telephone_number": "617-708-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FATHERS' UPLIFT FAMILY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "FILS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "617-987-5994"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.