Individual provider Active NPI

Caleb H Englander, LICSW

  • Social Worker
  • Cambridge, MA
National Provider Identifier
1942519012
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115915 Issued in MA
Practice address
1696 Massachusetts Ave # 2
Cambridge, MA 02138-1803
Phone
(617) 852-4854
NPI assigned
Oct 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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 115915 MA Primary

Addresses

Primary practice location

1696 Massachusetts Ave # 2
Cambridge, MA 02138-1803

Mailing address

1696 Massachusetts Ave # 2
Cambridge, MA 02138-1803
Phone (617) 852-4854

Other practice location 1

111 South St
Somerville, MA 02143-4297
Phone (617) 284-5130

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
I20110518000066 MA Practitioner - Clinical Social Worker 1153507637 Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1696 Massachusetts Ave
FL 2
Cambridge, MA 02138-1803
Phone (617) 852-4854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1942519012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 MASSACHUSETTS AVE # 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381803",
            "telephone_number": "617-852-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 MASSACHUSETTS AVE # 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381803",
            "telephone_number": "617-852-4854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 South St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021434297",
            "country_code": "US",
            "telephone_number": "617-284-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLANDER",
        "first_name": "CALEB",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2020-11-08",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "115915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.