Individual provider Active NPI

Carolyn A Yaffe, MSW, LICSW

  • Clinical Social Worker
  • Dorchester Center, MA
National Provider Identifier
1013167238
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114157 Issued in MA
Practice address
172 Ashmont St
Dorchester Center, MA 02124-3745
Phone
(617) 823-3054
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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 114157 MA Primary

Addresses

Primary practice location

172 Ashmont St
Dorchester Center, MA 02124-3745

Mailing address

172 Ashmont St
Dorchester Center, MA 02124-3745
Phone (617) 823-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114157MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Mental Health Center, Inc. PastSince Nov 18, 2019 Accepting new patients
Day to Day Psychiatric Care & Wellness PLLC PastSince Aug 6, 2023 Accepting new patients
All Care Homecare, LLC PastSince Jan 15, 2011 Accepting new patients
The May Institute, Inc Clinical PastSince Jul 1, 1990 Accepting new patients
SB Transitional Sub, LLC PastSince May 17, 2021 Accepting new patients
Health Imperatives Inc. Past Accepting new patients

Organizations & group practices 6

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1013167238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 ASHMONT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243745",
            "telephone_number": "617-823-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 ASHMONT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243745",
            "telephone_number": "617-823-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAFFE",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.