Individual provider Active NPI

Emily M O'Brien, LCSW

  • Clinical Social Worker
  • Needham, MA
National Provider Identifier
1568074847
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
225974 Issued in MA
Practice address
400 Hunnewell St Ste 6R
Needham, MA 02494-1360
Phone
(781) 400-2641
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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 225974 MA Primary

Addresses

Primary practice location

400 Hunnewell St Ste 6R
Needham, MA 02494-1360

Mailing address

60 Waban Park Apt 3
Newton, MA 02458-1409
Phone (585) 490-2236

Other practice location 1

60 Waban Park Apt 3
Newton, MA 02458-1409
Phone (585) 490-2236

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
225974MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alison R Mayer, LLC Clinical PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1568074847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WABAN PARK APT 3",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581409",
            "telephone_number": "585-490-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HUNNEWELL ST STE 6R",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941360",
            "telephone_number": "781-400-2641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Waban Park Apt 3",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024581409",
            "country_code": "US",
            "telephone_number": "585-490-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.