Active NPI
Lisa A St. Mary, LICSW
- Clinical Social Worker
- Quincy, MA
National Provider Identifier
1740520196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116010
- Practice address
- 21 Totman St
Suite 203
Quincy, MA 02169-7564 - Phone
- (617) 413-1724
- NPI assigned
- Feb 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116010 | MA | Primary |
Addresses
Primary practice location
21 Totman St
Suite 203
Quincy, MA 02169-7564
Mailing address
21 Totman St
Suite 203
Quincy, MA 02169-7564
Phone (617) 413-1724
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 |
|---|---|---|---|
| 116010 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1740520196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 TOTMAN ST",
"address_2": "SUITE 203",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697564",
"telephone_number": "617-413-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 TOTMAN ST",
"address_2": "SUITE 203",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697564",
"telephone_number": "617-413-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. MARY",
"first_name": "LISA",
"middle_name": "A",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "116010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.