Individual provider Active NPI

Francine Sue Eisenman, M.S.W.

  • Clinical Social Worker
  • Haverhill, MA
National Provider Identifier
1003972068
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110469 Issued in MA
Practice address
116 Summer St
Haverhill, MA 01830-6032
Phone
(978) 521-2955
Fax
(978) 373-1678
NPI assigned
Dec 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110469 MA Primary

Addresses

Primary practice location

116 Summer St
Haverhill, MA 01830-6032

Mailing address

712 Great Pond Rd
North Andover, MA 01845-2025
Phone (978) 697-3554

Other identifiers 1

IdentifierTypeStateIssuer
1855239MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017001031 MA Practitioner - Clinical Social Worker 5799701975 Reassigns benefits to 2 organizations
Practice locations: North Andover, MA; Haverhill, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians

Practice addresses (Care Compare)

116 Summer St
Haverhill, MA 01830-6032
Phone (978) 373-7010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Elder Services, Inc. CurrentSince Dec 1, 2007 Accepting new patients
Hri Clinics, Inc. CurrentSince Jan 26, 2001 Accepting new patients
Arbour Elder Services, Inc. CurrentSince Dec 1, 2007 Accepting new patients
Hri Clinics Inc CurrentSince Jan 26, 2001 Accepting new patients

Locations

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

116 Summer St
Haverhill, MA 01830
Phone (978) 373-7010

100 Ledgewood Pl
Ste 202
Rockland, MA 02370
Phone (781) 871-6500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003972068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 GREAT POND RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452025",
            "telephone_number": "978-697-3554",
            "fax_number": "979-373-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306032",
            "telephone_number": "978-521-2955",
            "fax_number": "978-373-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "FRANCINE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1855239",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.