Individual provider Active NPI

Jonathan Joel Nathan, MSW. LICSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1649309337
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1032266 Issued in MA
Practice address
330 Mount Auburn St
Mount Auburn Hospital Outpatient Psychiatry Dept
Cambridge, MA 02138-5502
Phone
(617) 499-5665
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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 1032266 MA Primary

Addresses

Primary practice location

330 Mount Auburn St
Mount Auburn Hospital Outpatient Psychiatry Dept
Cambridge, MA 02138-5502

Mailing address

330 Mount Auburn Street
Mount Auburn Hospital Outpatient Psychiatry Department
Cambridge, MA 02138
Phone (617) 499-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001418 MA Practitioner - Clinical Social Worker 3274568456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arbour IncGroup PAC ID 6800975574, 19 clinicians

Practice addresses (Care Compare)

49 Robinwood Ave
Boston, MA 02130-2156
Phone (617) 522-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1032266MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Inc CurrentSince Nov 16, 2020 Accepting new patients
Arbour Inc CurrentSince Nov 16, 2020 Accepting new patients
Mount Auburn Hospital Past Accepting new patients

Locations

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

Organizations & group practices 3

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1649309337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN STREET",
            "address_2": "MOUNT AUBURN HOSPITAL OUTPATIENT PSYCHIATRY DEPARTMENT",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-499-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "address_2": "MOUNT AUBURN HOSPITAL OUTPATIENT PSYCHIATRY DEPT",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-499-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "JONATHAN",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "MSW. LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1032266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.