Beth Macrae, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

215541 Issued in MA

Practice address

22 Temple St Apt 2
Somerville, MA 02145-2406

Phone

(617) 821-4515

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1720225402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TEMPLE ST APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452406",
            "telephone_number": "617-821-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TEMPLE ST APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452406",
            "telephone_number": "617-821-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Mill St",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "MA",
            "postal_code": "024781064",
            "country_code": "US",
            "telephone_number": "617-855-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACRAE",
        "first_name": "BETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.backtogoodcounseling.com",
            "affiliation": "Y",
            "affiliationName": "Back to Good Counseling",
            "address_1": "72 Newbury St",
            "city": "Somerville",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021442422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eduarda Macera, DO
• Megan Macgilvray
• Vania Lima Machado, MS, CCC,SLP
• Kaila Norman Mack, PH.D.
• Jeanette Silberstein Maclean, LICSW
• Margaret Macswan, MSW
• Kelsey Ann Madden, M.A.
• Shirin Elena Madjzoub, MD, MPH
• Mary Magauran, D.C.
• Kelly M Mahoney, PMHNP- BC

• Clinical Social Worker in Somerville, MA
• Providers in Somerville, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.