Individual provider Active NPI

Lorrie Gentes, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1962907246
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1029581 Issued in MA
Practice address
1000 Washington St FL 3
Boston, MA 02118-2798
Phone
(617) 790-4033
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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 1029581 MA Primary

Addresses

Primary practice location

1000 Washington St FL 3
Boston, MA 02118-2798

Mailing address

1000 Washigton Street
1000 Washtington Street
Boston, MA 02118-5002
Phone (617) 790-4033

Other identifiers 1

IdentifierTypeStateIssuer
1029581OtherMALICSW

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
1029581MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1962907246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WASHIGTON STREET",
            "address_2": "1000 WASHTINGTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021185002",
            "telephone_number": "617-790-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182798",
            "telephone_number": "617-790-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTES",
        "first_name": "LORRIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "1029581",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.