Joanna Brownstein, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Watertown, MA
NPI 1831674845 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1831674845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 113945-SW-LICSW (MA)
- Practice address
- 29 Warren St
Watertown, MA 02472-3651 - Phone
- (617) 475-0145
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113945-SW-LICSW | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113945-SW-LICSW | MA | Yes |
Addresses
Primary practice location
29 Warren St
Watertown, MA 02472-3651
Mailing address
29 Warren St
Watertown, MA 02472-3651
Phone (617) 475-0145
NPI Registry JSON
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1831674845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 WARREN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723651",
"telephone_number": "617-475-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 WARREN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723651",
"telephone_number": "617-475-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNSTEIN",
"first_name": "JOANNA",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113945-SW-LICSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
- Heather Brooks
- Allen James Brown
- James R. Brown
- Sophia Eh Brown
- Kevin L Browne
- Lindsey Lee Bryant
- Leslie Anne Bublick
- James Edward Bucciarelli
- Lara Buchanan
- Eleanor A Bueno
All providers in Watertown, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.