SOUTH BOSTON COMMUNITY HEALTH CENTER (NPI# 1952632663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952632663 |
| Entity Type | Organization |
| Organization Name | SOUTH BOSTON COMMUNITY HEALTH CENTER |
| Practice Address |
409 W Broadway South Boston MA 02127-2245 |
| Practice Telephone | 6172697500 |
| Practice Fax Number | 6174647581 |
| Mailing Telephone | 6172697500 |
| Mailing Fax Number | 6174647581 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | ROBERT EBERSOLE (CFO) |
| Authorized Official Telephone | 6174645857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295221315 | South Boston Community Health Center | Clinic/Center | 409 W Broadway, South Boston, MA 02127-2245 | 2018-07-02 |
| 1366626624 | South Boston Community Health Center | Clinic/Center | 409 W Broadway, South Boston, MA 02127-2245 | 2007-12-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH BOSTON COMMUNITY HEALTH CENTER, INC. | 409 W. Broadway, So. Boston, MA 02127 |
| Street Address |
409 W BROADWAY |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023081841 | Pamela Cattel | Internal Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2006-02-10 |
| 1215411749 | Kelly Anne Maloy | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-20 |
| 1437633401 | Veronica Lynn Hecht | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-17 |
| 1295221315 | South Boston Community Health Center | Clinic/Center | 409 W Broadway, South Boston, MA 02127-2245 | 2018-07-02 |
| 1427581727 | Jonathan Foster | Dentist | 409 W Broadway, South Boston, MA 02127-2245 | 2017-04-04 |
| 1306377049 | Isabella Buzzo Bellon Brout | Family Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2017-03-24 |
| 1548706187 | Mary Mcpherson | Social Worker | 409 W Broadway, South Boston, MA 02127-2245 | 2017-01-06 |
| 1902269202 | Katrina Jeanette Ciraldo | Family Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2016-04-04 |
| 1518373752 | Elizabeth Temple Corridan | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2014-07-09 |
| 1861837254 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 409 W Broadway, South Boston, MA 02127-2245 | 2013-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188546 | Kristen M Lambert | Social Worker | 405 W 1st St Unit 303, South Boston, MA 02127-1651 | 2020-06-15 |
| 1780161190 | Sandra Schultz | Social Worker | 851 E 5th St # 2, South Boston, MA 02127-3219 | 2018-07-27 |
| 1760971097 | Carol Malinowski | Social Worker | 486 E 3rd St Apt 4, South Boston, MA 02127-1452 | 2018-05-02 |
| 1144731746 | Yelana N Loiselle | Social Worker | 1226a Columbia Rd, South Boston, MA 02127-3920 | 2017-10-23 |
| 1760993554 | Triwellness Holistic Center LLC | Social Worker | 14 Dorchester St Ste 2, South Boston, MA 02127-1306 | 2017-10-19 |
| 1861865024 | Kathleen Cahill | Social Worker | 716 E 4th St, Apartment 1, South Boston, MA 02127-3142 | 2015-11-09 |
| 1225386204 | Alexandra Campbell Smith | Social Worker | 775 E 4th St, Apt. #2, South Boston, MA 02127-3259 | 2012-08-22 |
| 1184916553 | Patricia Shen | Social Worker | 279 Athens St, South Boston, MA 02127-1901 | 2011-05-04 |
| 1568770873 | Colleen E Mchorney | Social Worker | 1226 Columbia Rd, #a, South Boston, MA 02127-3978 | 2010-09-21 |
| 1538499587 | Anna Gerard | Social Worker | 3046 Carlbrook Rd, South Boston, VA 24592-6882 | 2010-01-13 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on SOUTH BOSTON COMMUNITY HEALTH CENTER.
| 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.