Active NPI
James Lavelle, LICSW
- Social Worker
- Lynn, MA
National Provider Identifier
1225142714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103238
- Practice address
- 269 Union St
Lynn, MA 01901 - Phone
- (781) 595-7747
- Fax
- (781) 595-7990
- NPI assigned
- Aug 19, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 103238 | MA | Primary |
Addresses
Primary practice location
269 Union St
Lynn, MA 01901
Mailing address
PO Box 526
Lynn, MA 01903
Phone (781) 596-2502
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103238 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Community Health, Inc. | Past | Accepting new patients | |
| Lynn Community Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Lynn, MA
- NPI 1013997691
-
dba Lynn Community Health Pharmacy
- Community/Retail Pharmacy
- Lynn, MA
- NPI 1477213031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225142714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 526",
"city": "LYNN",
"state": "MA",
"postal_code": "01903",
"telephone_number": "781-596-2502",
"fax_number": "781-596-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 UNION ST",
"city": "LYNN",
"state": "MA",
"postal_code": "01901",
"telephone_number": "781-595-7747",
"fax_number": "781-595-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVELLE",
"first_name": "JAMES",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "103238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.