Catherine B Theriault

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122393 Issued in MA

Practice address

25 James Oneill St
South Boston, MA 02127-4504

Phone

(617) 534-9500

Fax

(617) 534-9515

NPI assigned

Sep 9, 2016

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Public Health CommissionGroup PAC ID 2365571650, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/boston/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boston Public Health Commission

  • Public Health or Welfare Agency
  • Boston, MA
  • NPI 1063431492
  Medicare reassignment Care Compare group NPD
• Catherine Theriault Therapy PLLC

  • Clinical Social Worker
  • Holbrook, MA
  • NPI 1215871595
  NPD Authorized official
• Boston Public Health Commission

  • Public Health or Welfare Agency
  • Boston, MA
  • NPI 1114201605
  NPD
• Boston Public Health Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Boston, MA
  • NPI 1205231941
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1457808263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182600",
            "telephone_number": "617-534-3134",
            "fax_number": "617-534-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JAMES ONEILL ST",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021274504",
            "telephone_number": "617-534-9500",
            "fax_number": "617-534-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "CATHERINE",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Nicole Sutherland
• Meghan Taber, DPT
• Julia Taddonio
• Team PBS
• Nisha Thakrar, MD
• Thomas Pierce DC PLLC
• Madison Thompson, PHARMD
• Wanderley Timas
• Kristin Heather Tinlin
• Elizabeth Ann Traister, RN

• Clinical Social Worker in South Boston, MA
• Providers in South 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 Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.