Active NPI
Berney Elizabeth Graham, MSW LICSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1346374576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101206
- Practice address
- 55 Fruit Street Mass
General Hospital Social Service Wac Room 037
Boston, MA 02114 - Phone
- (617) 726-5840
- Fax
- (617) 724-1800
- NPI assigned
- Mar 16, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101206 | MA | Primary |
Addresses
Primary practice location
55 Fruit Street Mass
General Hospital Social Service Wac Room 037
Boston, MA 02114
Mailing address
55 Fruit Street Mass
General Hospital Social Service Wac Room 037
Boston, MA 02114
Phone (617) 726-5840
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 |
|---|---|---|---|
| 101206 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346374576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT STREET MASS",
"address_2": "GENERAL HOSPITAL SOCIAL SERVICE WAC ROOM 037",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-5840",
"fax_number": "617-724-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT STREET MASS",
"address_2": "GENERAL HOSPITAL SOCIAL SERVICE WAC ROOM 037",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-5840",
"fax_number": "617-724-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "BERNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MSW LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "101206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, 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.