ECUMENICAL SOCIAL ACTION COMMITTEE, INC. (NPI# 1336306182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336306182 |
Entity Type | Organization |
Organization Name | ECUMENICAL SOCIAL ACTION COMMITTEE, INC. |
Other Organization Name | ESAC |
Practice Address |
3313 Washington St Suite 5 Jamaica Plain MA 02130-2691 |
Practice Telephone | 6175242555 |
Practice Fax Number | 6175242430 |
Mailing Telephone | 6175242555 |
Mailing Fax Number | 6175242430 |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |
Authorized Official Name | MR. WILLIAM A. MINKLE (INTERIM EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6175242555 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
ESAC | Other Name - Individual/Organization |
Street Address |
3313 WASHINGTON ST SUITE 5 |
City | JAMAICA PLAIN |
State | MA |
Zip Code | 02130-2691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164469946 | Dan J Siskind | Psychiatry & Neurology | 3313 Washington St, Suite 1 Pact, Jamaica Plain, MA 02130 | 2006-06-01 |
1568079515 | Jarrett Piette | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-09-24 |
1942815493 | Tenealia Ann Gilmore | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-09-11 |
1568070050 | Charlotte Wells | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-07-21 |
1609484054 | Maya Luckett | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-07-21 |
1124636808 | Alvin Dave Lackard | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-07-17 |
1245869379 | Annette Mooney | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-04-01 |
1710513197 | Mary O'sullivan | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-03-18 |
1902455637 | Shaneese Byrd | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2019-09-05 |
1851946834 | Sophie E Sao | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2019-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
Find all providers in zip 02130 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326412685 | The Home for Little Wanderers | Community/Behavioral Health | 19 Dalrymple St, Unit D, Jamaica Plain, MA 02130-4543 | 2015-11-23 |
1437521275 | Lila Bucklin | Community/Behavioral Health | 65 Cornwall St Unit 104, Jamaica Plain, MA 02130-2696 | 2015-10-20 |
1760868798 | Abatec LLC | Community/Behavioral Health | 43 Montebello Rd, Jamaica Plain, MA 02130-2907 | 2015-07-31 |
1801916176 | Family Service Association of Greater Boston | Community/Behavioral Health | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2007-03-30 |
1063549962 | Italian Home for Children Inc | Community/Behavioral Health | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2007-02-27 |
1326417981 | Mary Rose Weyrich | Community/Behavioral Health | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2015-09-24 |
1053795138 | Brigham and Women's Hospital | Community/Behavioral Health | 3297 Washington St, Jamaica Plain, MA 02130-2655 | 2015-07-17 |
1548546120 | Mspcc | Community/Behavioral Health | 157 Green St, Jamaica Plain, MA 02130-2667 | 2011-10-27 |
1841504024 | Remy Yoshida | Community/Behavioral Health | 157 Green St, Jamaica Plain, MA 02130-2667 | 2010-07-30 |
1497981591 | Bay Cove Human Services, Inc | Community/Behavioral Health | 170 Morton St, Mj Gill Mh and Wellness Center, Jamaica Plain, MA 02130-3735 | 2009-06-03 |
Find all providers in JAMAICA PLAIN |
City | JAMAICA PLAIN |
Zip Code | 02130 |
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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.