Active NPI
Mary Beth Dawicki
- Clinical Social Worker
- Middleboro, MA
National Provider Identifier
1003200536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9159
- Legal business name
- MARY BETH DAWICKI
- Practice address
- 31 France St
Middleboro, MA 02346-3746 - Phone
- (617) 970-2377
- NPI assigned
- Mar 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandy Logan
- Title
- Practice Manager
- Phone
- (508) 830-0012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9159 | MA | Primary |
Addresses
Primary practice location
31 France St
Middleboro, MA 02346-3746
Mailing address
31 France St
Middleboro, MA 02346-3746
Phone (617) 970-2377
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1003200536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 FRANCE ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023463746",
"telephone_number": "617-970-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 FRANCE ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023463746",
"telephone_number": "617-970-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY BETH DAWICKI",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "508-830-0012"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "9159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.