Individual provider Active NPI

Lushane Garth Nembhard

  • Clinical Social Worker
  • Allston, MA
National Provider Identifier
1467087130
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW227597 Issued in MA
Practice address
250 Lincoln St
Allston, MA 02134-1318
Phone
(857) 303-9443
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW227597 MA Primary

Addresses

Primary practice location

250 Lincoln St
Allston, MA 02134-1318

Mailing address

35 Elmore St
Roxbury, MA 02119-3634
Phone (857) 237-6185

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW227597MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fathers' Uplift Family Group, LLC Clinical PastSince Aug 1, 2020 Accepting new patients
Cartwheel Health Services PC Mental Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1467087130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ELMORE ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193634",
            "telephone_number": "857-237-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LINCOLN ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341318",
            "telephone_number": "857-303-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMBHARD",
        "first_name": "LUSHANE",
        "middle_name": "GARTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW227597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.