Individual provider Active NPI

D. Elliott Kronenfeld, LICSW

  • Clinical Social Worker
  • Newton Centre, MA
National Provider Identifier
1356628713
Registry record updated Nov 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116543 Issued in MA
Practice address
10 Langley Rd
Suite 200
Newton Centre, MA 02459-1972
Phone
(617) 834-4235
NPI assigned
Nov 12, 2011
Last updated
Nov 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2011

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 116543 MA Primary

Addresses

Primary practice location

10 Langley Rd
Suite 200
Newton Centre, MA 02459-1972

Mailing address

10 Langley Rd
Suite 200
Newton Centre, MA 02459-1972
Phone (617) 834-4235

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
116543MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Evening Therapy Associates, LLC PastSince Mar 1, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321056000000",
    "number": "1356628713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LANGLEY RD",
            "address_2": "SUITE 200",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591972",
            "telephone_number": "617-834-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LANGLEY RD",
            "address_2": "SUITE 200",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591972",
            "telephone_number": "617-834-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENFELD",
        "first_name": "D. ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-12",
        "last_updated": "2011-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; 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.