Active NPI
Nicole San Jose Navarro
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1902478563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 165 Quincy St
Brockton, MA 02302-2988 - Phone
- (508) 897-2029
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- No
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
165 Quincy St
Brockton, MA 02302-2988
Mailing address
11 Hannah Niles Way
Braintree, MA 02184-7258
Phone (781) 267-4666
Other practice location 1
1501 Washington St
Braintree, MA 02184-7599
Phone (781) 267-4666
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nnavarro@aspirehealthalliance.org | ||
| Direct Messaging Address | nicole.s.navarro@mass.gov |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1902478563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HANNAH NILES WAY",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021847258",
"telephone_number": "781-267-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022988",
"telephone_number": "508-897-2029"
}
],
"practiceLocations": [
{
"address_1": "1501 Washington St",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "021847599",
"country_code": "US",
"telephone_number": "781-267-4666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVARRO",
"first_name": "NICOLE",
"middle_name": "SAN JOSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nnavarro@aspirehealthalliance.org",
"affiliation": "N",
"address_1": "1501 Washington St",
"city": "Braintree",
"state": "MA",
"country_code": "US",
"postal_code": "021847599",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.s.navarro@mass.gov",
"affiliation": "N",
"address_1": "165 Quincy St",
"city": "Brockton",
"state": "MA",
"country_code": "US",
"postal_code": "023022988",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.