Individual provider Active NPI

Catherine Yang

  • Clinical Social Worker
  • Charlestown, MA
National Provider Identifier
1750929808
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
228207 Issued in MA
Practice address
15 Tufts St
Charlestown, MA 02129-2711
Phone
(857) 238-1195
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X 228207 MA Primary

Addresses

Primary practice location

15 Tufts St
Charlestown, MA 02129-2711

Mailing address

10 Parsonage Rd Ste 318
Edison, NJ 08837-2429

Other identifiers 1

IdentifierTypeStateIssuer
228207OtherMADIVISION OF OCCUPATIONAL LICENSURE, BOARD OF SOCIAL WORKERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
228207MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North End Community Health Committee Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

15 Tufts St
Charlestown, MA 02129
Phone (857) 238-1100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1750929808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 318",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TUFTS ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021292711",
            "telephone_number": "857-238-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "228207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF OCCUPATIONAL LICENSURE, BOARD OF SOCIAL WORKERS",
            "identifier": "228207",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

Verify at the official NPI Registry.