Individual provider Active NPI

Annette Helene Demby, M.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1356325534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104713 Issued in MA
Practice address
15 Spalding St
Jamaica Plain, MA 02130-3233
Phone
(617) 524-1333
Fax
(617) 522-2126
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 104713 MA Primary

Addresses

Primary practice location

15 Spalding St
Jamaica Plain, MA 02130-3233

Mailing address

15 Spalding St
Jamaica Plain, MA 02130-3233
Phone (617) 524-1333

Other names 1

  • Annette Helene Alovis Briggs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 8, 2019 through Oct 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104713MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356325534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPALDING ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303233",
            "telephone_number": "617-524-1333",
            "fax_number": "617-522-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPALDING ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303233",
            "telephone_number": "617-524-1333",
            "fax_number": "617-522-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBY",
        "first_name": "ANNETTE",
        "middle_name": "HELENE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "ALOVIS BRIGGS",
            "middle_name": "HELENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.