Active NPI
Rachel Spurr Young, LCSW
- Social Worker
- Dorchester, MA
National Provider Identifier
1760701858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 215490
- Practice address
- 105 Victory Rd
Dorchester, MA 02122-3518 - Phone
- (617) 371-3010
- NPI assigned
- May 27, 2010
- Sex
- Female
- 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 | 215490 | MA | Primary |
Addresses
Primary practice location
105 Victory Rd
Dorchester, MA 02122-3518
Mailing address
32 Harriet St
Brighton, MA 02135-2140
Phone (207) 712-4248
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 |
|---|---|---|---|
| 215490 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1760701858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 HARRIET ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352140",
"telephone_number": "207-712-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 VICTORY RD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223518",
"telephone_number": "617-371-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "RACHEL",
"middle_name": "SPURR",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "215490",
"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 May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.