KIMBERLY LUTZKE (NPI# 1255512646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255512646 |
| Entity Type | Individual |
| Full Name | KIMBERLY LUTZKE |
| Credential | LICSW |
| Practice Address |
77b Warren St Boston MA 02135 |
| Mailing Address |
77b Warren St Boston MA 02135-3601 |
| Practice Telephone | 6177871901 |
| Practice Fax Number | 6172543461 |
| Mailing Telephone | 6177871901 |
| Mailing Fax Number | 6172543461 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 119281 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
77B WARREN ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760646442 | Adrienne Flight | Social Worker | 77b Warren St, Boston, MA 02135-3601 | 2008-07-11 |
| 1093993479 | Dianne Richard | Social Worker | 77b Warren St, Boston, MA 02135-3601 | 2008-02-07 |
| 1356527113 | Kelly Lewis | Social Worker | 77b Warren St, Boston, MA 02135-3601 | 2008-01-11 |
| 1053595389 | Eric Pegnam | Social Worker | 77b Warren St, Boston, MA 02135-3601 | 2007-12-21 |
| 1437339553 | Lindsey Sauer | Social Worker | 77b Warren St, Boston, MA 02135-3601 | 2007-11-06 |
| 1346437985 | Helen Desantis | Social Worker | 77b Warren St, Boston, MA 02135-3601 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568955 | Melanie Hanson | Social Worker | 47 West St Fl 4, Boston, MA 02111-1219 | 2020-11-03 |
| 1164029153 | Maria J Matos | Social Worker | 20 E Brookline St Apt 73, Boston, MA 02118-4309 | 2020-10-03 |
| 1457968976 | Lauren Marie Beville | Social Worker | 339 Dorchester St Apt 2, Boston, MA 02127-2738 | 2020-09-29 |
| 1881205920 | Jawaan Kellam | Social Worker | 42 Catawba St, Boston, MA 02119-1825 | 2020-08-12 |
| 1205453156 | Sarah Marie Liming | Social Worker | 419 Boylston St Ste 502, Boston, MA 02116-3335 | 2020-06-26 |
| 1528681731 | Anu Menon | Social Worker | 34 Union St Apt 1, Boston, MA 02135-3439 | 2020-05-21 |
| 1891316774 | Annarose Fountain | Social Worker | 276 Marlborough St # G2, Boston, MA 02116-1745 | 2020-05-01 |
| 1134771322 | Mikayla Francois | Social Worker | 727 Atlantic Ave # 1, Boston, MA 02111-2810 | 2019-07-09 |
| 1982263745 | Margaret Haffey | Social Worker | 670 Albany St Ste 6, Boston, MA 02118-2653 | 2019-06-06 |
| 1710545462 | Damaris Janexis Cortez | Social Worker | 202 W Selden St # 1, Boston, MA 02126-2324 | 2019-05-29 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.