Active NPI
Myrtise Maurice, LICSW
- Clinical Social Worker
- Hyde Park, MA
National Provider Identifier
1871809111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 181 Fairmount Ave
Hyde Park, MA 02136-3505 - Phone
- (617) 230-5210
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
181 Fairmount Ave
Hyde Park, MA 02136-3505
Mailing address
1525 Blue Hill Ave
Boston, MA 02126-1702
Phone (617) 356-8242
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perspectives Health Services, LLC | Clinical | Current | Accepting new patients |
| Priority Professional Care,LLC | Past | Accepting new patients |
Locations
867 Boylston St
Fl 5
Boston, MA 02116
Phone (617) 221-3202
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Boston, MA
- NPI 1871978940
-
- Foster Care Agency
- Mattapan, MA
- NPI 1477970218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1871809111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 BLUE HILL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021261702",
"telephone_number": "617-356-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 FAIRMOUNT AVE",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021363505",
"telephone_number": "617-230-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURICE",
"first_name": "MYRTISE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.