Active NPI
Phoebe Kelleher, LCSW
- Social Worker
- Cambridge, MA
National Provider Identifier
1730847369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 000227595
- Practice address
- 929 Massachusetts Ave
Cambridge, MA 02139-3143 - Phone
- (617) 764-9202
- NPI assigned
- Dec 1, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 000227595 | MA | Primary |
Addresses
Primary practice location
929 Massachusetts Ave
Cambridge, MA 02139-3143
Mailing address
929 Massachusetts Ave
Cambridge, MA 02139-3143
Phone (617) 764-9202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | phoebekelleher@thriveworks.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000227595 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1730847369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393143",
"telephone_number": "617-764-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393143",
"telephone_number": "617-764-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEHER",
"first_name": "PHOEBE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "000227595",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "phoebekelleher@thriveworks.com",
"affiliation": "N",
"address_1": "929 Massachusetts Ave",
"city": "Cambridge",
"state": "MA",
"country_code": "US",
"postal_code": "021393143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.