Eva Ray Senner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW126095 Issued in MA

Practice address

707 Fulton St
Medford, MA 02155-1013

Phone

(978) 505-5212

Fax

(617) 326-3021

NPI assigned

Jan 17, 2017

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eva Ray Senner, LLC

  • Adult Mental Health Clinic/Center
  • Medford, MA
  • NPI 1497518609
  NPD Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1720524507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 FULTON ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551013",
            "telephone_number": "978-505-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 FULTON ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551013",
            "telephone_number": "978-505-5212",
            "fax_number": "617-326-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENNER",
        "first_name": "EVA",
        "middle_name": "RAY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW126095",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000222329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea Glass Clinical Services LLC
• Eileen Seery
• Dan Seligman, D.P.M.
• Nicole Selvaraj, DPT
• Jovan Emmanuel Sematimba, RN
• Debra R. Severo, RNCS
• Shafa Physical Therapy
• Kipa Shakya, DMD
• Yuliya Shanley, N.P.
• Susan Shannon

• Clinical Social Worker in Medford, MA
• Providers in Medford, 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 Aug 4, 2023; 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.