Organization Active NPI

Power of Connection

  • Clinical Social Worker
  • Brighton, MA
National Provider Identifier
1922346212
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113723 Issued in MA
Legal business name
POWER OF CONNECTION
Practice address
17 Henshaw St
Brighton, MA 02135-2905
Phone
(617) 669-6059
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Mrs. Elena Medvedovski-Khanukaev, L.I.C.S.W.
Title
Owner/Clinical Social Worker
Phone
(617) 669-6059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 113723 MA Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 218572 MA

Addresses

Primary practice location

17 Henshaw St
Brighton, MA 02135-2905

Mailing address

17 Henshaw St
Brighton, MA 02135-2905
Phone (617) 669-6059

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1922346212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HENSHAW ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352905",
            "telephone_number": "617-669-6059",
            "fax_number": "617-225-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HENSHAW ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352905",
            "telephone_number": "617-669-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER OF CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "MEDVEDOVSKI-KHANUKAEV",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "617-669-6059",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.I.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113723",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "218572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.