Boston Professionals Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117069 Issued in MA

Legal business name

BOSTON PROFESSIONALS COUNSELING, LLC

Practice address

8 Faneuil Hall Marketplace FL 3
Boston, MA 02109-6110

Phone

(617) 973-5015

Fax

(617) 973-5031

NPI assigned

May 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Derek Kang, JD, LICSW

Title

Member

Phone

(508) 740-1091

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1720423221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FANEUIL HALL MARKETPLACE FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021096110",
            "telephone_number": "617-973-5015",
            "fax_number": "617-973-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FANEUIL HALL MARKETPLACE FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021096110",
            "telephone_number": "617-973-5015",
            "fax_number": "617-973-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PROFESSIONALS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "508-740-1091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Partners in Care
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• Boston Plastic & Oral Surgery
• Boston Plastic Surgery Associates, PC
• Boston Premier Dentistry, PC
• Boston Psychiatry Group
• Boston Psychotherapy & Counseling Services Inc
• Boston Psychotherapy Associates
• Boston Public Health Commission (Substance Abuse Services)
• Boston Public Health Commission (Asthma Home Visiting & Immunization Prog.)

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 May 10, 2013; 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.