Active NPI
Gordon Chinamasa
- Social Worker
- Lowell, MA
National Provider Identifier
1679093884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 222718
- Practice address
- 391 Varnum Ave
Lowell, MA 01854-2119 - Phone
- (978) 455-3397
- NPI assigned
- Jun 20, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 222718 | MA | Primary |
Addresses
Primary practice location
391 Varnum Ave
Lowell, MA 01854-2119
Mailing address
82 Brick Kiln Rd Unit 5105
Chelmsford, MA 01824-3264
Phone (682) 365-3785
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1679093884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 BRICK KILN RD UNIT 5105",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243264",
"telephone_number": "682-365-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-455-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINAMASA",
"first_name": "GORDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "222718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
- Wai-Por Cheng, L.I.C.S.W.
- Shabnam V. Cheriyath, MD
- Michealar Chhat
- Hong Chhay, PHARMD
- Macrina S Chidarikire, APRN PMHNP-BC
- Maimuna U. Chiocca, COTA
- Chiropractic Care Centers, Inc (Physical Therapy Care Centers)
- Chiropractic Care Centers, Inc (Orthopedic Care Centers)
- Chiropractic Healing Center PC
- Christina Chludzinski, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.