Individual provider Active NPI

Elizabeth Kia

  • Clinical Social Worker
  • Roxbury Crossing, MA
National Provider Identifier
1437772894
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125434 Issued in MA
Practice address
71 Alleghany St
Roxbury Crossing, MA 02120-3338
Phone
(617) 254-0964
NPI assigned
May 20, 2020
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000225800 MA
Clinical Social Worker 1041C0700X 125434 MA Primary

Addresses

Primary practice location

71 Alleghany St
Roxbury Crossing, MA 02120-3338

Mailing address

71 Alleghany St
Roxbury Crossing, MA 02120-3338

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.thehome.org

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
000225800MAMDClinical Social Worker
125434MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1437772894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ALLEGHANY ST",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021203338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ALLEGHANY ST",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021203338",
            "telephone_number": "617-254-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-01-18",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000225800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehome.org",
            "affiliation": "N",
            "address_1": "71 Alleghany St",
            "city": "Roxbury Crossing",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021203338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roxbury Crossing, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.