Individual provider Active NPI

Michael Joseph Kushner, MSW

  • Social Worker
  • Brookline, MA
National Provider Identifier
1922626282
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
41 Garrison Rd
Brookline, MA 02445-4445
Phone
(617) 879-4300
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

41 Garrison Rd
Brookline, MA 02445-4445

Mailing address

41 Garrison Rd
Brookline, MA 02445-4445
Phone (617) 879-4300

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address michaelkushner@brooklinecenter.org Direct The Brookline Center
Direct Messaging Address michaelkushner@brooklinecenter.org Direct The Brookline Center
Direct Messaging Address michaelkushner@brooklinecenter.org Direct The Brookline Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301001210 MA Practitioner - Clinical Social Worker 1557706447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mattapan Community Health Center Inc CurrentSince Feb 7, 2024 Accepting new patients
Mattapan Community Health Center Inc Past Accepting new patients

Locations

1575 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 296-0061

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922626282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-879-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-879-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelkushner@brooklinecenter.org",
            "affiliation": "Y",
            "endpointDescription": "encrypted work email",
            "affiliationName": "The Brookline Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "73 Naples Road",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelkushner@brooklinecenter.org",
            "affiliation": "Y",
            "endpointDescription": "encrypted work email",
            "affiliationName": "The Brookline Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "73 Naples Road",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelkushner@brooklinecenter.org",
            "affiliation": "Y",
            "endpointDescription": "encrypted work email",
            "affiliationName": "The Brookline Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "73 Naples Road",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.