Active NPI
Jean Faucher
- Clinical Social Worker
- Arlington, MA
National Provider Identifier
1235579798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000224806
- Practice address
- 63 N Union St Apt 2
Arlington, MA 02474-3665 - Phone
- (781) 413-4450
- NPI assigned
- Jun 28, 2013
- 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 | 000224806 | MA | Primary |
Addresses
Primary practice location
63 N Union St Apt 2
Arlington, MA 02474-3665
Mailing address
63 N Union St Apt 2
Arlington, MA 02474-3665
Phone (781) 413-4450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000224806 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1235579798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 N UNION ST APT 2",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024743665",
"telephone_number": "781-413-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 N UNION ST APT 2",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024743665",
"telephone_number": "781-413-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUCHER",
"first_name": "JEAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "000224806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.