Active NPI
Arlene Small, MSLADCI
- Addiction (Substance Use Disorder) Counselor
- Quincy, MA
National Provider Identifier
1710430178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13822
- Practice address
- 1419 Hancock St Ste 301
Quincy, MA 02169-5250 - Phone
- (617) 328-0639
- Fax
- (617) 328-2049
- NPI assigned
- Aug 2, 2016
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13822 | MA | Primary |
Addresses
Primary practice location
1419 Hancock St Ste 301
Quincy, MA 02169-5250
Mailing address
1419 Hancock St Ste 301
Quincy, MA 02169-5250
Phone (617) 328-0639
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 |
|---|---|---|---|
| 13822 | MA | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1710430178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 HANCOCK ST STE 301",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695250",
"telephone_number": "617-328-0639",
"fax_number": "617-328-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 HANCOCK ST STE 301",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695250",
"telephone_number": "617-328-0639",
"fax_number": "617-328-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "ARLENE",
"credential": "MSLADCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "13822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.