Individual provider Active NPI

Maureen C Mann, LICSW, EMP, RMT

  • Clinical Social Worker
  • Hudson, MA
National Provider Identifier
1912329244
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110942 Issued in MA
Practice address
69 Main St
Hudson, MA 01749-2122
Phone
(978) 310-1189
NPI assigned
Jan 6, 2014
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 110942 MA
Clinical Social Worker 1041C0700X 110942 MA Primary

Addresses

Primary practice location

69 Main St
Hudson, MA 01749-2122

Mailing address

8 Knotts St
Hudson, MA 01749-1783
Phone (508) 738-0111

Other practice location 1

600 Worcester Rd Ste 201
Framingham, MA 01702-5360
Phone (978) 310-1189

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL maureenmann444@gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
110942MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

600 Worcester Rd
Ste 201
Framingham, MA 01702
Phone (508) 875-1110

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1912329244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KNOTTS ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491783",
            "telephone_number": "508-738-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAIN ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492122",
            "telephone_number": "978-310-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Worcester Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025360",
            "country_code": "US",
            "telephone_number": "978-310-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LICSW, EMP, RMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "110942",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maureenmann444@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mailing address",
            "address_1": "69 Main St",
            "city": "Hudson",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017492122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.