Active NPI
Elizabeth Sanchez O'Brien, LICSW
- Counselor
- Hopkinton, MA
National Provider Identifier
1336795145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 111079
- Practice address
- 6 Church Street
Third Floor
Hopkinton, MA 01748-1928 - Phone
- (508) 377-3022
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 111079 | MA | Primary |
Addresses
Primary practice location
6 Church Street
Third Floor
Hopkinton, MA 01748-1928
Mailing address
103 Ash St
Hopkinton, MA 01748-1928
Phone (617) 872-0956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111079 | Other | MA | PROFESSIONAL LICENSE |
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 |
|---|---|---|---|
| 111079 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1336795145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ASH ST",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481928",
"telephone_number": "617-872-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CHURCH STREET",
"address_2": "THIRD FLOOR",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017481928",
"telephone_number": "508-377-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "ELIZABETH",
"middle_name": "SANCHEZ",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "111079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "111079",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.