Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN AUGUSTUS NORTHRIDGE, LICSW
ActiveJOHN AUGUSTUS NORTHRIDGE, LICSW is a Clinical Social Worker healthcare provider located in SOUTH BOSTON, Massachusetts. NPI 1174586168 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SOUTH BOSTON, MA
Registration Details
- NPI Number
- 1174586168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2006 (20.199071914627 yrs)
- Last Updated
- Jul 8, 2007
- License
-
105237 (MA)
Practice Information
- Address
-
58 OLD COLONY AVESOUTH BOSTON, MA, 021272406Browse MA providers · Browse ZIP 02127
- Phone
- 6172681700
- Fax
- 6172681991
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SOUTH BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY ELIZABETH KELLEHER | LICSW | 1295798114 |
| DR. JAMES ALLAN GARDNER, JR. | PHD LICSW | 1407819261 |
| MR. KEITH HOWARD MANTEL | LICSW | 1356351118 |
| MR. DANIEL T SULLIVAN | LICSW | 1124235734 |
| EMILY R HAMES | LICSW | 1689814741 |
| CHRISTOPHER M LAUZON | LICSW | 1710216577 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.