Individual provider Active NPI

Carla Naumburg, LICSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1932644192
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113319 Issued in MA
Practice address
60 Austin St
Suite 210
Newton, MA 02460-1857
Phone
(617) 454-4732
NPI assigned
Dec 27, 2016
Last updated
Dec 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113319 MA Primary

Addresses

Primary practice location

60 Austin St
Suite 210
Newton, MA 02460-1857

Mailing address

22 Aberdeen St
Newton, MA 02461-1802
Phone (617) 454-4732

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

State licenses

LicenseStateTypeSpecialty
113319MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1932644192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ABERDEEN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611802",
            "telephone_number": "617-454-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 AUSTIN ST",
            "address_2": "SUITE 210",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601857",
            "telephone_number": "617-454-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMBURG",
        "first_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.