Organization Active NPI

South Shore Therapy and Associates

  • Clinical Social Worker
  • Braintree, MA
National Provider Identifier
1780922898
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115309 Issued in MA
Legal business name
SOUTH SHORE THERAPY AND ASSOCIATES
Practice address
25 Adams St
Suite 103
Braintree, MA 02184-1911
Phone
(857) 433-0259
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Luyuanan Milton, MSW, LICSW
Title
Owner
Phone
(857) 499-0259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 115309 MA Primary

Addresses

Primary practice location

25 Adams St
Suite 103
Braintree, MA 02184-1911

Mailing address

25 Adams St
Suite 103
Braintree, MA 02184-1911
Phone (857) 433-0259

National Provider Directory

National Provider Directory

Locations

25 Adams St
Ste 103
Braintree, MA 02184
Phone (857) 433-0259

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1780922898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ADAMS ST",
            "address_2": "SUITE 103",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841911",
            "telephone_number": "857-433-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ADAMS ST",
            "address_2": "SUITE 103",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841911",
            "telephone_number": "857-433-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE THERAPY AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "LUYUANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-499-0259",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.