St. Anthony Shrine

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116882 Issued in MA

Legal business name

ST. ANTHONY SHRINE

Practice address

100 Arch St
Boston, MA 02110-1111

Phone

(617) 542-2964

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Paul Richard Okeeffe, LICSWNPI 1659701027

Title

Clinical Director

Phone

(617) 542-2964

Specialties & licenses 1

Addresses

Other names 1

• St. Anthony Counseling Service Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul R O'Keeffe, LCSW-C

  • Clinical Social Worker
  • Takoma Park, MD
  • NPI 1659701027
  NPD (past) Authorized official
• Kevin Miller

  • Mental Health Counselor
  • Boston, MA
  • NPI 1912790403
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1265804892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARCH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101111",
            "telephone_number": "617-542-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARCH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101111",
            "telephone_number": "617-542-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY SHRINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "OKEEFFE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "617-542-2964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Anthony Counseling Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kellie St Martin
• Mahala St Paul, NP
• Steven Lynn St Peter, MD
• Nadja St-Surin, FNP
• Othniel St-Ulme
• Lisa St. Arnaud
• St. Botolph Assisted Living Limited Partnership
• David Joseph St. Germain III, CRNA
• Autumn Jean St. Hilaire, CNP
• Shelsea Annette St. Hillien

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.