Judith Mary Breen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113840 Issued in MA

Practice address

125 Oakland St
Wellesley Hills, MA 02481-5338

Phone

(781) 237-2161

Fax

(781) 997-1147

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1518446145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MANTHORNE RD # 1",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321502",
            "telephone_number": "617-325-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OAKLAND ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815338",
            "telephone_number": "781-237-2161",
            "fax_number": "781-997-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "JUDITH",
        "middle_name": "MARY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Bosworth, MD
• Karl R Bower, L.AC.
• Marianne Brandon, PHD
• Kathryn Brank
• Breast Imaging Physicians PC
• Ann M Briley, MD
• Kathleen C Bruce, CNM
• Geoffrey Michael Burns, M.D.
• Alicia Calcagni
• Patricia Ann Camden, A-GPCNP

• Clinical Social Worker in Wellesley Hills, MA
• Providers in Wellesley Hills, 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 Aug 14, 2018; 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.