Active NPI
Katherine Luciano, LICSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1811479900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 123095
- Practice address
- 75 Kneeland St
Boston, MA 02111-1901 - Phone
- (617) 858-1293
- NPI assigned
- Sep 5, 2018
- Last updated
- Oct 12, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 123095 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 223927 | MA |
Addresses
Primary practice location
75 Kneeland St
Boston, MA 02111-1901
Mailing address
44 Cranston St
Boston, MA 02130-1848
Phone (716) 807-8031
Other practice location 1
30 Warren St
Boston, MA 02135-3602
Phone (617) 779-1677
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 |
|---|---|---|---|
| 123095 | MA | MD | Clinical Social Worker |
| 223927 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1811479900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CRANSTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021301848",
"telephone_number": "716-807-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 KNEELAND ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111901",
"telephone_number": "617-858-1293"
}
],
"practiceLocations": [
{
"address_1": "30 Warren St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021353602",
"country_code": "US",
"telephone_number": "617-779-1677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCIANO",
"first_name": "KATHERINE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "123095",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "223927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.