Active NPI
Laura Lynn Krim, MSW, LICSW
- Social Worker
- Brockton, MA
National Provider Identifier
1033475173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1027478
- Practice address
- 165 Quincy St
Brockton, MA 02302 - Phone
- (508) 897-2000
- Fax
- (508) 897-2075
- NPI assigned
- Apr 3, 2012
- 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 | 1027478 | MA | Primary |
Addresses
Primary practice location
165 Quincy St
Brockton, MA 02302
Mailing address
165 Quincy St
Brockton, MA 02302
Phone (508) 897-2197
Other names 1
- Laura Matason
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027478 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1033475173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02302",
"telephone_number": "508-897-2197",
"fax_number": "508-897-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02302",
"telephone_number": "508-897-2000",
"fax_number": "508-897-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIM",
"first_name": "LAURA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1027478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MATASON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.