Organization Active NPI

Mary Beth Dawicki

  • Clinical Social Worker
  • Middleboro, MA
National Provider Identifier
1003200536
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9159 Issued in MA
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

Updated by the provider on Mar 23, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.