Brenda Etheridge-Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7221 Avalon Dr
Weymouth, MA 02188-4632

Phone

(781) 331-6804

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770629685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 AVALON DR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021884632",
            "telephone_number": "781-331-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 AVALON DR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021884632",
            "telephone_number": "781-331-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHERIDGE-JOHNSON",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara K Erdody, NP
• Eric Diener Inc.
• Barbara Erkson
• Vitaly E Ermolin, MD
• Julie Lyn Estey, MSW
• Melissa Evans, MS OTR/L
• James R Everett, M.D.
• Heather Kathryn Ewell, LCSW
• Kayla Fagerberg, CRNA
• Jennifer Anne Faig, M.D.

• Clinical Social Worker in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.