Active NPI
Carolyn Patricia Boumila-Vega, MSW
- Social Worker
- Chelsea, MA
National Provider Identifier
1588017826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 113 Hawthorne St
Chelsea, MA 02150-3215 - Phone
- (617) 889-7100
- NPI assigned
- Jul 22, 2016
- Last updated
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary | |
| Clinical Social Worker | 1041C0700X | NU | ||
| School Social Worker | 1041S0200X | NU |
Addresses
Primary practice location
113 Hawthorne St
Chelsea, MA 02150-3215
Mailing address
113 Hawthorne St
Chelsea, MA 02150-3215
Phone (617) 889-7100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1588017826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 HAWTHORNE ST",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021503215",
"telephone_number": "617-889-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HAWTHORNE ST",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021503215",
"telephone_number": "617-889-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUMILA-VEGA",
"first_name": "CAROLYN",
"middle_name": "PATRICIA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.