Active NPI
Jeffrey Norris Quinn
- Social Worker
- Boston, MA
National Provider Identifier
1639338692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 410564
- Practice address
- 25 Staniford St
Boston, MA 02114-2503 - Phone
- (617) 889-4860
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 410564 | MA | Primary |
Addresses
Primary practice location
25 Staniford St
Boston, MA 02114-2503
Mailing address
175 Melrose St
Melrose, MA 02176-1719
Phone (781) 665-3710
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
| License | State | Type | Specialty |
|---|---|---|---|
| 410564 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1639338692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MELROSE ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761719",
"telephone_number": "781-665-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 STANIFORD ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142503",
"telephone_number": "617-889-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "JEFFREY",
"middle_name": "NORRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "410564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.