Individual provider Active NPI

Anne E Roughton, LICSW

  • Clinical Social Worker
  • Florence, MA
National Provider Identifier
1013238500
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115774 Issued in MA
Practice address
60 Maple St
Ste 2B
Florence, MA 01062-1293
Phone
(413) 387-7767
NPI assigned
Jun 18, 2010
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 115774 MA Primary

Addresses

Primary practice location

60 Maple St
Ste 2B
Florence, MA 01062-1293

Mailing address

181 N Maple St
Florence, MA 01062-1346
Phone (413) 387-7767

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
I20110127000844 MA Practitioner - Clinical Social Worker 2466631007 Practice locations: Florence, MA

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

Practice addresses (Care Compare)

60 Maple St
Suite 2B
Florence, MA 01062-1293
Phone (413) 387-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115774MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians PC Past Accepting new patients
Community Health Care, Inc. Addiction (Substance Use Disorder) PastSince Dec 1, 2016 Accepting new patients

Organizations & group practices 2

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1013238500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N MAPLE ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621346",
            "telephone_number": "413-387-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAPLE ST",
            "address_2": "STE 2B",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621293",
            "telephone_number": "413-387-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGHTON",
        "first_name": "ANNE",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.