Individual provider Active NPI

Emily Fairbairn Herget, LICSW

  • Clinical Social Worker
  • Brighton, MA
National Provider Identifier
1861979155
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118948 Issued in MA
Practice address
34 Beechcroft St Apt 1
Brighton, MA 02135-2584
Phone
(203) 417-9966
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 118948 MA Primary

Addresses

Primary practice location

34 Beechcroft St Apt 1
Brighton, MA 02135-2584

Mailing address

34 Beechcroft St Apt 1
Brighton, MA 02135-2584
Phone (203) 417-9966

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
118948MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1861979155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BEECHCROFT ST APT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352584",
            "telephone_number": "203-417-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BEECHCROFT ST APT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352584",
            "telephone_number": "203-417-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGET",
        "first_name": "EMILY",
        "middle_name": "FAIRBAIRN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.