Individual provider Active NPI

Emily Feigenberg

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1538403712
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122937 Issued in MA
Practice address
175 Federal St Ste 1400
Boston, MA 02110-2237
Phone
(617) 336-3246
NPI assigned
Nov 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090643 NY
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 222901 MA
Clinical Social Worker 1041C0700X 122937 MA Primary

Addresses

Primary practice location

175 Federal St Ste 1400
Boston, MA 02110-2237

Mailing address

8 Boylston Ter
Medford, MA 02155-2215

Other practice location 1

65 Broadway
New York, NY 10006-2503
Phone (212) 677-8550 ext. 26

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122937MAMDClinical Social Worker
222901MAMDClinical Social Worker
090643NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Insight Counseling Associates, LLC CurrentSince Jun 9, 2024 Accepting new patients
Riverside Community Care, Inc. Past Accepting new patients

Locations

175 Federal St
Ste 1400
Boston, MA 02110
Phone (617) 336-3246

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": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1538403712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOYLSTON TER",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FEDERAL ST STE 1400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102237",
            "telephone_number": "617-336-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100062503",
            "country_code": "US",
            "telephone_number": "212-677-8550 x26",
            "fax_number": "212-677-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEIGENBERG",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090643",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.