John Brown
Individual provider Active NPI Clinical Social Worker · East Weymouth, MA
NPI 1447733571 · NPPES record last updated Sep 14, 2018
Key facts
- NPI
- 1447733571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 113402 (MA)
- Practice address
- 1051 Commercial St
East Weymouth, MA 02189-1636 - Phone
- (781) 337-4500
- NPI assigned
- Sep 14, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113402 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113402 | MA | Yes |
Addresses
Primary practice location
1051 Commercial St
East Weymouth, MA 02189-1636
Mailing address
9 Captains Way
E Bridgewater, MA 02333-1084
Other providers in East Weymouth, MA
- Assent Academy
- Michelle Brooks
- Stephanie Bythrow
- Deborah Zahn Carlson
- Child and Family Psychological Services PLLC
- Kathleen Frances Cosgrove
- Mark P Dacey
All providers in East Weymouth, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.