Organization Active NPI

Commonwealth Care

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1649938572
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMMONWEALTH CARE
Doing business as
Commonwealth Care
Practice address
87 Winthrop Mail Ctr
Cambridge, MA 02138-7531
Phone
(703) 869-3806
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carl Miller, J.D., LCSWNPI 1639314172
Title
Owner
Phone
(703) 869-3806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

87 Winthrop Mail Ctr
Cambridge, MA 02138-7531

Mailing address

87 Winthrop Mail Ctr
Cambridge, MA 02138-7531
Phone (703) 869-3806

Other names 1

  • Commonwealth Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Commonwealthcare.us Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1649938572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 WINTHROP MAIL CTR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021387531",
            "telephone_number": "703-869-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 WINTHROP MAIL CTR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021387531",
            "telephone_number": "703-869-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-869-3806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Commonwealthcare.us",
            "affiliation": "N",
            "endpointDescription": "Intend to create patient portal site once practice is officially up and running. This online portal will be a platform for patients to communicate with providers, access medical records, and billing.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "87 Winthrop Mail Ctr",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021387531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Commonwealth Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.