MR. MICHAEL SISSON MEDUR
NPI 1932768702
Social Worker - Clinical in Boston, MA

Active since June 06, 2019
17 COURT ST, BOSTON, MA 02108(617) 371-1829(617) 371-1829 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Sisson Medur NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL SISSON MEDUR (NPI 1932768702) is an individual clinical provider in Boston, Massachusetts and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1932768702
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL SISSON MEDUR
Location Address17 COURT STBoston, MA 02108-2601
Mailing Address17 Court StBoston, MA 02108-2601 · (617) 371-1829 · Fax (617) 371-1829
Fax(617) 371-1829
Sole ProprietorNo
Enumeration DateJune 6, 2019
NPI 1932768702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
17 COURT ST, Boston, MA 02108

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
17 COURT ST
BOSTON, MA 02108
Social Worker (Clinical)
17 COURT ST
BOSTON, MA 02108
Social Worker (Clinical)
17 COURT ST
BOSTON, MA 02108
Counselor (Mental Health)
17 COURT ST
BOSTON, MA 02108
Clinic/Center (Federally Qualified Health Center (FQHC))
17 COURT ST
BOSTON, MA 02108
Counselor (Mental Health)
17 COURT ST
BOSTON, MA 02108
Counselor
17 COURT ST
BOSTON, MA 02108
Case Manager/Care Coordinator
17 COURT ST
BOSTON, MA 02108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Medur's NPI number?

The NPI number for Michael Medur is 1932768702. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Michael Medur located?

Michael Medur practices at 17 Court St, Boston, MA 02108. The listed phone number is (617) 371-1829.

What is Michael Medur's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Michael Medur was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.