Active NPI
Andrea K Oberlander, LICSW
- Social Worker
- Lynn, MA
National Provider Identifier
1962904243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1027229
- Practice address
- 500 Lynnfield St
Lynn, MA 01904-1424 - Phone
- (781) 477-3528
- NPI assigned
- Mar 2, 2018
- Last updated
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1027229 | MA | Primary |
Addresses
Primary practice location
500 Lynnfield St
Lynn, MA 01904-1424
Mailing address
16 McKinley Rd
Marblehead, MA 01945-2012
Phone (781) 639-1016
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1027229 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1962904243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MCKINLEY RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452012",
"telephone_number": "781-639-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LYNNFIELD ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019041424",
"telephone_number": "781-477-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERLANDER",
"first_name": "ANDREA",
"middle_name": "K",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1027229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.