Active NPI
Charles Horenstein
- Social Worker
- Roxbury, MA
National Provider Identifier
1760009542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 223399
- Practice address
- 39 Juniper St
Roxbury, MA 02119-1750 - Phone
- (248) 302-3065
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 223399 | MA | Primary |
Addresses
Primary practice location
39 Juniper St
Roxbury, MA 02119-1750
Mailing address
39 Juniper St
Roxbury, MA 02119-1750
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 |
|---|---|---|---|
| 223399 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1760009542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 JUNIPER ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 JUNIPER ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191750",
"telephone_number": "248-302-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORENSTEIN",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "223399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.