Active NPI
Maraynn Siegel
- Clinical Social Worker
- Charlestown, MA
National Provider Identifier
1760898084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 218149
- Practice address
- 73 High St
3Rd Floor
Charlestown, MA 02129-3026 - Phone
- (617) 724-8135
- NPI assigned
- Jul 8, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 218149 | MA | Primary |
Addresses
Primary practice location
73 High St
3Rd Floor
Charlestown, MA 02129-3026
Mailing address
73 High St
3Rd Floor
Charlestown, MA 02129-3026
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 |
|---|---|---|---|
| 218149 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1760898084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 HIGH ST",
"address_2": "3RD FLOOR",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021293026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 HIGH ST",
"address_2": "3RD FLOOR",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021293026",
"telephone_number": "617-724-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "MARAYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "218149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.