Active NPI
Barbara Mantel, MSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1407946114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100470
- Practice address
- 2 Brewer St
Cambridge, MA 02138-5710 - Phone
- (617) 576-6909
- Fax
- (617) 576-6909
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 100470 | MA | Primary |
Addresses
Primary practice location
2 Brewer St
Cambridge, MA 02138-5710
Mailing address
63 Wachusett St # 3
Jamaica Plain, MA 02130-4139
Phone (617) 522-5494
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100470 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407946114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 WACHUSETT ST # 3",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304139",
"telephone_number": "617-522-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BREWER ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385710",
"telephone_number": "617-576-6909",
"fax_number": "617-576-6909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTEL",
"first_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "100470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.