John A Northridge, LICSW
Social Worker, Clinical in South Boston, Massachusetts
1174586168- Practice location
- 58 Old Colony Ave, South Boston, MA 02127-2406
- Phone
- 617-268-1700
- Fax
- 617-268-1991
- Last updated
- July 13, 2026
John Augustus Northridge is a Social Worker, Clinical based in South Boston, MA. John Augustus Northridge practices in South Boston, MA and has the professional credentials of LICSW. The NPI Number for John Augustus Northridge is 1174586168 and holds a License No. 105237 (MA). The current practice location address for John Augustus Northridge is 58 Old Colony Ave, South Boston, MA 02127-2406 and can be reached out via phone at 617-268-1700 and via fax at 617-268-1991.
Provider Profile Details
- NPI Number
- 1174586168
- Provider Name
- John Augustus Northridge
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 58 Old Colony Ave, South Boston, MA 02127-2406
- Phone Number
- 617-268-1700
- Fax Number
- 617-268-1991
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 10, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 58 Old Colony Ave
South Boston, MA 02127-2406 - City
- South Boston
- State
- Massachusetts
- Zip
- 02127-2406
- Phone Number
- 617-268-1700
- Fax Number
- 617-268-1991
Provider Business Mailing Address Details
- Address
- 11 Orchard RD
Weymouth, MA 02190-1636 - City
- Weymouth
- State
- MA
- Zip
- 02190-1636
- Phone Number
- 781-335-6104
License Information
- License Number
- 105237
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near South Boston, MA
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- Catherine B TheriaultSocial Worker, Clinical · NPI 1457808263
Frequently Asked Questions
What is the NPI number of John A Northridge, LICSW?
The NPI number of John A Northridge, LICSW is 1174586168. It was assigned on April 10, 2006 and is currently active in the NPPES registry.
What is the specialty of John A Northridge, LICSW?
John A Northridge, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105237.
Where does John A Northridge, LICSW practice?
The practice location is 58 Old Colony Ave, South Boston, MA 02127-2406. The office can be reached at 617-268-1700 (phone) or 617-268-1991 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174586168 directly on the NPPES registry website.