Run Feng, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122189 Issued in MA

Practice address

1131 Beacon St Ste 1-C
Brookline, MA 02446-5531

Phone

(617) 906-6176

Fax

(617) 906-6177

NPI assigned

Aug 7, 2019

Last updated

Mar 2, 2020By 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 1

Addresses

Other names 1

• Ren Feng Professional name

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.

• Shiraz Levkovich Psy D Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookline, MA
  • NPI 1376131698
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1720633506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BEACON ST STE 1-C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465531",
            "telephone_number": "617-906-6176",
            "fax_number": "617-906-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BEACON ST STE 1-C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465531",
            "telephone_number": "617-906-6176",
            "fax_number": "617-906-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "RUN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REN",
            "last_name": "FENG",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather Fazio
• Jerome Miles Federschneider, MD
• Alina Fein, LCSW
• Judith a L Feldman, M.D.
• Rachel Feller
• Luke Ferdinands
• Shannon Fernandez-Ledon
• Marcia Lynn Ferrigno, MSW
• Janine Elizabeth Ferro- Landaverde, ATC, CSCS, LAT
• Michael J Ferullo, MSW LICSW

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, 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 Mar 2, 2020; 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.