Sara Ginns Mestjian, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113626 Issued in MA

Practice address

780 American Legion Hwy
Roslindale, MA 02131-3908

Phone

(617) 469-8514

Fax

(617) 325-0353

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Jean Ginns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750411443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RAWSTON RD",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314516",
            "telephone_number": "617-553-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 AMERICAN LEGION HWY",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313908",
            "telephone_number": "617-469-8514",
            "fax_number": "617-325-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTJIAN",
        "first_name": "SARA",
        "middle_name": "GINNS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GINNS",
            "middle_name": "JEAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danelsi Mejia
• Melania Lewis
• Melissa Landry Nutrition LLC
• Mendes Medical Assoc. PC
• Antonio C Mendes, M.D
• Sam Methratta, PHARMD
• Eran Daniel Metzger, M.D.
• Raymonde Milien
• Jason William Miller-Pope
• Meghan L Miller

• Clinical Social Worker in Roslindale, MA
• Providers in Roslindale, 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 Jul 8, 2007; 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.