Sean Womack

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Practice address

521 Mount Auburn St Ste 101
Watertown, MA 02472-4153

Phone

(617) 657-1853

NPI assigned

Apr 16, 2022

Sex

Male

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

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1447993548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ASH ST UNIT 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533995",
            "telephone_number": "248-821-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST STE 101",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724153",
            "telephone_number": "617-657-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Wolf, M.D.
• Katharine Poole Wolf, MD
• Lisa H. Wolfe
• Leang Wolff, MEDICAL INTERPRETER
• Lindsay Wolff
• Benjamin Wong
• Sheena Wooden
• Jay Arthur Woods, MDIV
• Kadesia Woods, LICSW
• Kimberly Fay Wutkiewicz

• Student Health Clinic/Center in Watertown, MA
• Providers in Watertown, MA by specialty
• Student Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.