Edward Liston Kraft, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW104389 Issued in MA

Practice address

1153 Centre Street
Boston, MA 02130

Phone

(617) 983-7928

Fax

(617) 983-7231

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Edward E Liston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447324801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DELANO AVENUE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "617-983-7928",
            "fax_number": "617-983-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-983-7928",
            "fax_number": "617-983-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTON KRAFT",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW104389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "LISTON",
            "middle_name": "E",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Lisowski
• Desta Lissanu, MD
• Taylor Marie Lissarrague
• Brianne Lista, CNP
• Dianna Lister, O.D.
• Matthew Litchfield, PHARMD, RPH
• Joshua Harris Litchman, MD
• Tess Deutch Litchman, MD
• Randi Lite, RCEP
• Thuy-Lan Lite

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 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.

Verify at the official NPI Registry.