Active NPI
Maggie Wonson Small
- Counselor
- Malden, MA
National Provider Identifier
1205487816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 43 Dartmouth St
Malden, MA 02148-5103 - Phone
- (781) 306-4820
- NPI assigned
- Sep 25, 2019
- Last updated
- Sep 25, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
43 Dartmouth St
Malden, MA 02148-5103
Mailing address
22 Burpee Rd
Swampscott, MA 01907-1736
Phone (781) 910-5671
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": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1205487816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BURPEE RD",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019071736",
"telephone_number": "781-910-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 DARTMOUTH ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021485103",
"telephone_number": "781-306-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "MAGGIE",
"middle_name": "WONSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.