MEDICARE: ERA PSYCHOTHERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1215884267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERA PSYCHOTHERAPY, PLLC

Provider Business Mailing Address
First Line	:	6 LIBERTY SQ # 2594
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02109-5800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 BEMIS ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02460-1102
Country	:	US
Telephone Number	:	857-293-9875
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERPIST
Name	:	CAITLIN VINTER
Credential	:	LICSW
Telephone Number	:	857-293-9875

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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