Organization Active NPI

Paula Koren, Licsw LLC

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1891145215
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PAULA KOREN, LICSW LLC
Practice address
233 Harvard St.
Suite# 36
Brookline, MA 02446
Phone
(617) 992-8622
Fax
(617) 232-4145
NPI assigned
Jun 16, 2016
Last updated
Jun 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Paula Koren
Title
Licsw
Phone
(617) 992-8622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

233 Harvard St.
Suite# 36
Brookline, MA 02446

Mailing address

233 Harvard St. Suite# 36
Brookline, MA 02446
Phone (617) 992-8622

National Provider Directory

National Provider Directory

Locations

233 Harvard St
Ste 36
Brookline, MA 02446
Phone (617) 697-9252

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1891145215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 HARVARD ST. SUITE# 36",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-992-8622",
            "fax_number": "617-232-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 HARVARD ST.",
            "address_2": "SUITE# 36",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-992-8622",
            "fax_number": "617-232-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA KOREN, LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "KOREN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "617-992-8622"
    },
    "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 Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.