Organization Active NPI

Milton Counseling Collaborative

  • Clinical Social Worker
  • Milton, MA
National Provider Identifier
1407606791
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MILTON COUNSELING COLLABORATIVE
Practice address
65 Adams St Ste 6
Milton, MA 02186-3413
Phone
(617) 293-1657
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Lisa Morin, LICSWNPI 1699834598
Title
Owner
Phone
(617) 293-1657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

65 Adams St Ste 6
Milton, MA 02186-3413

Mailing address

65 Adams St Ste 6
Milton, MA 02186-3413
Phone (617) 293-1657

National Provider Directory

National Provider Directory

Locations

65 Adams St
Ste 6
Milton, MA 02186
Phone (617) 293-1657

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1407606791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ADAMS ST STE 6",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863413",
            "telephone_number": "617-293-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ADAMS ST STE 6",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863413",
            "telephone_number": "617-293-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON COUNSELING COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-293-1657",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.