# LEMUEL SHATTUCK HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245370873
- **Authorized official:** MS. DONNA ETHEL GRANT LICSW (CLINICAL SOCIAL WORKER C)
- **Authorized official phone:** (617) 971-3006

## Contact information

- **Practice address:** 170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
- **Practice address phone:** (617) 522-8110
- **Practice address fax:** (617) 971-3853
- **Mailing address:** 170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
- **Mailing address phone:** (617) 522-8110
- **Mailing address fax:** (617) 971-3853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 1029674 | MA | Yes |
| 283Q00000X | Psychiatric Hospital | 1029674 | MA | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 09/11/2025