Active NPI
Liala Buoniconti, LCSW
- Clinical Social Worker
- Chelsea, MA
National Provider Identifier
1831229442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 214236
- Practice address
- 151 Everett Ave
MGH Chelsea Health Center
Chelsea, MA 02150-1812 - Phone
- (617) 887-3814
- Fax
- (617) 889-8509
- NPI assigned
- Mar 6, 2007
- 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 | 214236 | MA | Primary |
Addresses
Primary practice location
151 Everett Ave
MGH Chelsea Health Center
Chelsea, MA 02150-1812
Mailing address
151 Everett Ave
MGH Chelsea Health Center
Chelsea, MA 02150-1812
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 |
|---|---|---|---|
| 214236 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831229442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 EVERETT AVE",
"address_2": "MGH CHELSEA HEALTH CENTER",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021501812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 EVERETT AVE",
"address_2": "MGH CHELSEA HEALTH CENTER",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021501812",
"telephone_number": "617-887-3814",
"fax_number": "617-889-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUONICONTI",
"first_name": "LIALA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "214236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- 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.