Individual provider Active NPI

Olga S Santiago Mauras, MSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1841360377
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1027770 Issued in MA
Practice address
Boston Medical Center,Yawkey Ambulatory Care Ctr
850 Harrison Avenue
Boston, MA 02118
Phone
(617) 414-4384
Fax
(617) 414-2755
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1027770 MA Primary

Addresses

Primary practice location

Boston Medical Center,Yawkey Ambulatory Care Ctr
850 Harrison Avenue
Boston, MA 02118

Mailing address

465 Arborway
Apartment 17
Jamaica Plain, MA 02130-3657
Phone (617) 414-4384

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

LicenseStateTypeSpecialty
LICSW1027770MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1841360377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 ARBORWAY",
            "address_2": "APARTMENT 17",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303657",
            "telephone_number": "617-414-4384",
            "fax_number": "617-414-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOSTON MEDICAL CENTER,YAWKEY AMBULATORY CARE CTR",
            "address_2": "850 HARRISON AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-4384",
            "fax_number": "617-414-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MAURAS",
        "first_name": "OLGA",
        "middle_name": "S",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1027770",
            "primary": true
        }
    ],
    "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 Jan 9, 2009; 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.