Amanda Evans Coburn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113526 Issued in MA

Practice address

384 Washington St
Norwell, MA 02061-2010

Phone

(781) 871-6550

NPI assigned

Apr 22, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Arbour Elder Services, Inc.

  • Community/Behavioral Health Agency
  • Norwell, MA
  • NPI 1720034705
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1740571900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612010",
            "telephone_number": "781-871-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612010",
            "telephone_number": "781-871-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "AMANDA",
        "middle_name": "EVANS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda B Cleary, PAC
• Kiera Roisin Clifford
• Marilyn Elizabeth Cloud, LCSW
• Noel Robert Coakley
• Coastline Counseling and Wellness
• Rebecca Coburn
• Lesley Anne Coco
• Collaborative Medical Group PLLC
• Colton Helal Oral Surgery, LLC
• Timothy S Colton, DDS

• Clinical Social Worker in Norwell, MA
• Providers in Norwell, 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 Apr 22, 2011; 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.