Courtney Degemmis McNulty, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119389 Issued in MA

Practice address

20 Main St Ste 309
Natick, MA 01760-4525

Phone

(781) 738-1552

NPI assigned

Sep 17, 2012

Last updated

Dec 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1427308444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST STE 309",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST STE 309",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604525",
            "telephone_number": "781-738-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "COURTNEY",
        "middle_name": "DEGEMMIS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Flavio McMorran, DMD
• Rebecca McNally, PT, DPT
• Casey McNamara
• Kailey McNamara, M.ED, RDN, LDN
• Abby McNulty
• Nancy Shelley McPhee, HIS
• Medical Associates of Greater Boston
• Ciara Medina
• Yohanna Friedman Medley, MSW
• Tammi Jane Meehan, M.ED.

• Clinical Social Worker in Natick, MA
• Providers in Natick, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.