Active NPI
Judivelly Torres
- School Social Worker
- Boston, MA
National Provider Identifier
1669706842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 30 Warren St
SB-BH Program
Boston, MA 02135-3602 - Phone
- (617) 254-3800
- Fax
- (617) 779-1235
- NPI assigned
- Sep 22, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
30 Warren St
SB-BH Program
Boston, MA 02135-3602
Mailing address
10 Orkney Rd
Apt 22
Brighton, MA 02135-7717
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20095 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1669706842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ORKNEY RD",
"address_2": "APT 22",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021357717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WARREN ST",
"address_2": "SB-BH PROGRAM",
"city": "BOSTON",
"state": "MA",
"postal_code": "021353602",
"telephone_number": "617-254-3800",
"fax_number": "617-779-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "JUDIVELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"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 Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.