NPIMap

Organization Active NPI

Commonwealth of Massachusetts

  • Case Management Agency
  • Worcester, MA
National Provider Identifier
1003039322
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Practice address
324 R Clark Street
Worcester, MA 01606
Phone
(508) 792-6200
NPI assigned
Apr 11, 2007
Organization subpart
Yes
Parent organization
COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dylan Lattimore
Title
Deputy Commissioner for Administrat
Phone
(857) 408-0675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

324 R Clark Street
Worcester, MA 01606

Mailing address

40TH Broad Street
4TH Floor
Boston, MA 02109
Phone (617) 727-5608

Other identifiers 2

IdentifierTypeStateIssuer
110000085FMedicaidMA
1813234MedicaidMA

Other names 2

  • DDS WORCESTER AREA OFFICE Doing business as
  • WORCESTER AREA OFFICE CM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C Stanley Raymond146 organizations share this tax ID, including this one
Part of
C Stanley Raymond

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

40 Southbridge St
Ste 200
Worcester, MA 01608

324 Clark St
#R
Worcester, MA 01606
Phone (508) 368-2700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1003039322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40TH BROAD STREET",
            "address_2": "4TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-727-5608",
            "fax_number": "617-624-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 R CLARK STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01606",
            "telephone_number": "508-792-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER FOR ADMINISTRAT",
        "authorized_official_telephone_number": "857-408-0675"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000085F",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1813234",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDS WORCESTER AREA OFFICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WORCESTER AREA OFFICE CM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.