Individual provider Active NPI

Catherine Lee Weisbrod, LICSW,CEAP,BCD

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1700889482
Registry record updated Jun 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103439 Issued in MA
Practice address
203 Allston St
Cambridge, MA 02139-3917
Phone
(617) 492-3868
Fax
(617) 547-7304
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103439 MA Primary

Addresses

Primary practice location

203 Allston St
Cambridge, MA 02139-3917

Mailing address

203 Allston St
Cambridge, MA 02139-3917
Phone (617) 492-3868

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

LicenseStateTypeSpecialty
103439MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277510400000",
    "number": "1700889482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ALLSTON ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393917",
            "telephone_number": "617-492-3868",
            "fax_number": "617-547-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ALLSTON ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393917",
            "telephone_number": "617-492-3868",
            "fax_number": "617-547-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROD",
        "first_name": "CATHERINE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LICSW,CEAP,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; 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.