Individual provider Active NPI

James Cremer, LICSW

  • Counselor
  • Boston, MA
National Provider Identifier
1386128114
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
119928-SW-LICSW Issued in MA
Practice address
250 Washington St
Boston, MA 02108-4603
Phone
(617) 624-5335
NPI assigned
Sep 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 119928-SW-LICSW MA Primary

Addresses

Primary practice location

250 Washington St
Boston, MA 02108-4603

Mailing address

168 River St
West Newton, MA 02465-1430

Other practice location 1

168 River St
West Newton, MA 02465-1430
Phone (617) 501-4971

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

LicenseStateTypeSpecialty
119928-SW-LICSWMAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1386128114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 RIVER ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084603",
            "telephone_number": "617-624-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 River St",
            "address_purpose": "LOCATION",
            "city": "West Newton",
            "state": "MA",
            "postal_code": "024651430",
            "country_code": "US",
            "telephone_number": "617-501-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREMER",
        "first_name": "JAMES",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "119928-SW-LICSW",
            "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 Sep 18, 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.