Active NPI
May S Chin, MSW - LICSW
- Clinical Social Worker
- Watertown, MA
National Provider Identifier
1972570844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1027069
- Practice address
- 705 Mount Auburn St
Watertown, MA 02472-1508 - Phone
- (888) 766-9818
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1027069 | MA | Primary |
Addresses
Primary practice location
705 Mount Auburn St
Watertown, MA 02472-1508
Mailing address
22 Cragmore Rd
Newton, MA 02464-1009
Phone (617) 244-6446
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 |
|---|---|---|---|
| 1027069 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1972570844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CRAGMORE RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641009",
"telephone_number": "617-244-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 MOUNT AUBURN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024721508",
"telephone_number": "888-766-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "MAY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MSW - LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1027069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.