Carmen Calderon O'Hara, LICSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

1029585 Issued in MA

Practice address

10 Fenwood Rd
Boston, MA 02115-6104

Phone

(617) 635-8450

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1346728979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BIRCH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021313010",
            "telephone_number": "617-240-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FENWOOD RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156104",
            "telephone_number": "617-635-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "CARMEN",
        "middle_name": "CALDERON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "1029585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Emily O'Halloran, N.D.
• Liam Joseph O'Halloran, M.D.
• Thomas David O'Halloran, MB BCH BAO
• Breelin Davenport O'Hara, PA-C
• Brian O'Hara
• Elizabeth O'Hara
• Jill O'Hara, MD
• Kelly O'Hara, M.D.
• Sean M. O'Hara, MD
• Alexandria Marie O'Hare, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.