Individual provider Active NPI

Pamela Jabush Platten, LICSW

  • Clinical Social Worker
  • Newton Center, MA
National Provider Identifier
1295906436
Registry record updated Mar 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110148 Issued in MA
Practice address
53 Langley Rd
Suite 340C
Newton Center, MA 02459-1913
Phone
(617) 332-4520
NPI assigned
Mar 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110148 MA Primary

Addresses

Primary practice location

53 Langley Rd
Suite 340C
Newton Center, MA 02459-1913

Mailing address

15 Rotherwood Rd
Newton, MA 02459-2437
Phone (617) 332-4520

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

LicenseStateTypeSpecialty
110148MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205625600000",
    "number": "1295906436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROTHERWOOD RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592437",
            "telephone_number": "617-332-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "address_2": "SUITE 340C",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "617-332-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATTEN",
        "first_name": "PAMELA",
        "middle_name": "JABUSH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2008-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2008; 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.