Miriam Rose Braude, L.I.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110959 Issued in MA

Practice address

6 Enfield St Unit 3
Jamaica Plain, MA 02130-2138

Phone

(617) 435-1867

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659396349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ENFIELD ST UNIT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302138",
            "telephone_number": "617-435-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ENFIELD ST UNIT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302138",
            "telephone_number": "617-435-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUDE",
        "first_name": "MIRIAM",
        "middle_name": "ROSE",
        "credential": "L.I.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Marie Brabson, OTR
• G J Bradish, LMHC
• Daniella Bradley
• Brittany Brady
• Lindsay Brainerd
• Breaking Waves Psychology
• Courtney Breen, M.A.
• Claudia Briceno, MA
• Bridge Boston Charter School
• Brigham & Women'S Hospital

• Clinical Social Worker in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.