Individual provider Active NPI

Siobhan Flanagan, LICSW

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1609305796
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120252 Issued in MA
Practice address
859 Willard St Ste 420
Quincy, MA 02169-7469
Phone
(617) 903-5100
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 120252 MA Primary

Addresses

Primary practice location

859 Willard St Ste 420
Quincy, MA 02169-7469

Mailing address

131 Gilson Rd
Scituate, MA 02066-4644
Phone (215) 384-3390

Other practice location 1

124 King St
Cohasset, MA 02025
Phone (215) 384-3390

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
120252MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1609305796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GILSON RD",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664644",
            "telephone_number": "215-384-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WILLARD ST STE 420",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697469",
            "telephone_number": "617-903-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 King St",
            "address_purpose": "LOCATION",
            "city": "Cohasset",
            "state": "MA",
            "postal_code": "02025",
            "country_code": "US",
            "telephone_number": "215-384-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "SIOBHAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.