Individual provider Active NPI

John Dabrowski, LICSW

  • Clinical Social Worker
  • Dorchester, MA
National Provider Identifier
1750368841
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027738 Issued in MA
Practice address
250 Mount Vernon St
Dorchester, MA 02125-3120
Phone
(617) 288-1140
Fax
(617) 288-3910
NPI assigned
Dec 29, 2005
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1027738 MA Primary

Addresses

Primary practice location

250 Mount Vernon St
Dorchester, MA 02125-3120

Mailing address

39 Iffley Rd
Jamaica Plain, MA 02130-2327
Phone (617) 524-1672

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1027738MAMDClinical Social Worker
1027338MAMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1750368841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 IFFLEY RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302327",
            "telephone_number": "617-524-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MOUNT VERNON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021253120",
            "telephone_number": "617-288-1140",
            "fax_number": "617-288-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABROWSKI",
        "first_name": "JOHN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.