Mary Lou Kaufman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100954 Issued in MA

Practice address

1419 Beacon St
Brookline, MA 02446-4808

Phone

(617) 990-4139

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

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

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1538643085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CONISTON RD UNIT 2",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311516",
            "telephone_number": "617-325-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464808",
            "telephone_number": "617-990-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MARY LOU",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Edward Katz, MD
• Jodi Katz, BCBA
• Karen Katz
• Ronald M Katz, M.D.
• Jason Kaufman, LMFT
• Kevin J Kaufmann, MD PHD
• Kayoko Obara, DMD PC
• Ashley Keane-Ames, CNP
• Christine R Keegan, MD
• Barbara Keezell, LICSW

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, 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 Sep 20, 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.