Active NPI
Gregory Stoodley, LICSW
- Clinical Social Worker
- Brighton, MA
National Provider Identifier
1669528006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112168
- Practice address
- 77 Warren St
Brighton, MA 02135-3601 - Phone
- (617) 254-0964
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112168 | MA | Primary |
Addresses
Primary practice location
77 Warren St
Brighton, MA 02135-3601
Mailing address
89 Londonderry Rd
Framingham, MA 01701-4377
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 |
|---|---|---|---|
| 112168 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669528006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 LONDONDERRY RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017014377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 WARREN ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353601",
"telephone_number": "617-254-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOODLEY",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "112168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
- Steward Physician Network, Inc.
- Steward St Elizabeths Medical Center of Boston Inc
- Steward St. Elizabeth'S Medical Center of Boston Inc
- Craig R Stirrat, MD
- Katherine Stockman, PMHCNS-BC
- Emily Reed Strainchamps, LICSW
- Erin Straughn, RDN, LDN
- Adele Helene Strauss, M.AC. LIC. AC.
- Jason B Strauss, M.D.
- Marina Strauss, LMHC
Sources for this page
- 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.