Active NPI
Sara J Mogan, LICSW
- Social Worker
- Walpole, MA
National Provider Identifier
1003885260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 213400
- Practice address
- 95 West Street
Walpole, MA 02081 - Phone
- (508) 660-1510
- Fax
- (508) 660-3122
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 213400 | MA | Primary |
Addresses
Primary practice location
95 West Street
Walpole, MA 02081
Mailing address
30 Mechanic Street
Suite 2
Foxboro, MA 02035
Phone (508) 543-2133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213400 | Other | MA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090107000693 | MA | Practitioner - Clinical Social Worker | 4284797879 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kerzner Associates PC
Practice addresses (Care Compare)
30 Mechanic St
Foxboro, MA 02035-4021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerzner Associates PC | Current | Accepting new patients |
Locations
30 Mechanic St
Foxborough, MA 02035
Phone (508) 543-2133
30 Mechanic St
Ste 2
Foxborough, MA 02035
Phone (508) 543-2133
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1003885260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MECHANIC STREET",
"address_2": "SUITE 2",
"city": "FOXBORO",
"state": "MA",
"postal_code": "02035",
"telephone_number": "508-543-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WEST STREET",
"city": "WALPOLE",
"state": "MA",
"postal_code": "02081",
"telephone_number": "508-660-1510",
"fax_number": "508-660-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGAN",
"first_name": "SARA",
"middle_name": "J",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "213400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "213400",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.