Active NPI
Sam Rappaport
- Social Worker
- Charlestown, MA
National Provider Identifier
1669947594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119823
- Practice address
- 529 Main St Ste 100
Charlestown, MA 02129-1119 - Phone
- (617) 864-8140
- NPI assigned
- Oct 8, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 119823 | MA | Primary |
Addresses
Primary practice location
529 Main St Ste 100
Charlestown, MA 02129-1119
Mailing address
3D S Commons
Lincoln, MA 01773-1114
Phone (857) 998-1147
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 |
|---|---|---|---|
| 119823 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1669947594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3D S COMMONS",
"city": "LINCOLN",
"state": "MA",
"postal_code": "017731114",
"telephone_number": "857-998-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MAIN ST STE 100",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291119",
"telephone_number": "617-864-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPAPORT",
"first_name": "SAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "119823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.