Interfaith Social Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTERFAITH SOCIAL SERVICES INC

Practice address

105 Adams St
Quincy, MA 02169-2004

Phone

(617) 773-6203

Fax

(617) 472-4987

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly A Farrell

Title

Business Manager

Phone

(617) 773-6203

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 6

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.

• Una M Armstrong, LICSW

  • Mental Health Counselor
  • Quincy, MA
  • NPI 1043340698
  Medicare reassignment Care Compare group NPD
• Diane M. Crouse, LCSW

  • Clinical Social Worker
  • Quincy, MA
  • NPI 1700012390
  Medicare reassignment Care Compare group NPD
• George Fahey, LICSW

  • Clinical Social Worker
  • Quincy, MA
  • NPI 1538567714
  NPD
• Claire M Hagan, LMHC

  • Mental Health Counselor
  • Quincy, MA
  • NPI 1528108305
  NPD (past)
• Kathleen Liberman, LICSW

  • Mental Health Counselor
  • Quincy, MA
  • NPI 1881736932
  NPD (past)
• Elizabeth G Wagner, LMHC

  • Mental Health Counselor
  • Quincy, MA
  • NPI 1417076332
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1902074362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692004",
            "telephone_number": "617-773-6203",
            "fax_number": "617-472-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692004",
            "telephone_number": "617-773-6203",
            "fax_number": "617-472-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH SOCIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "617-773-6203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LEGACY #",
            "identifier": "70010000P10048",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Barbara G Isgur, LADAC

• Community/Behavioral Health Agency in Quincy, MA
• Providers in Quincy, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.