Active NPI
Toni-Ann Mahanna, L.I.C.S.W.
- Social Worker
- Brockton, MA
National Provider Identifier
1760711386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1028755
- Practice address
- 215 Main St.
Brockton District Court
Brockton, MA 02303 - Phone
- (508) 897-4973
- Fax
- (508) 897-4988
- NPI assigned
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 1028755 | MA | Primary |
Addresses
Primary practice location
215 Main St.
Brockton District Court
Brockton, MA 02303
Mailing address
215 Main St.
Brockton District Court Brockton Juvenile Court Clinic
Brockton, MA 02303
Phone (508) 897-4973
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 |
|---|---|---|---|
| 1028755 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1760711386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MAIN ST.",
"address_2": "BROCKTON DISTRICT COURT BROCKTON JUVENILE COURT CLINIC",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02303",
"telephone_number": "508-897-4973",
"fax_number": "508-897-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MAIN ST.",
"address_2": "BROCKTON DISTRICT COURT",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02303",
"telephone_number": "508-897-4973",
"fax_number": "508-897-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHANNA",
"first_name": "TONI-ANN",
"name_prefix": "Ms.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1028755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.