Individual provider Active NPI

Barbara Conrad, LCSW

  • Clinical Social Worker
  • Lawrence, MA
National Provider Identifier
1033634126
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
226525 Issued in MA
Practice address
15 Union St
Lawrence, MA 01840-1866
Phone
(978) 382-8908
Fax
(978) 686-2954
NPI assigned
Aug 9, 2017
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 226525 MA Primary

Addresses

Primary practice location

15 Union St
Lawrence, MA 01840-1866

Mailing address

15 Union St Ste 215
Lawrence, MA 01840-1929
Phone (978) 382-8908

Other practice location 1

7 Cuba St
Andover, MA 01810-3407
Phone (978) 494-4460

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
I20260109000361 MA Practitioner - Clinical Social Worker 6709362700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crosspoint Clinical Services IncGroup PAC ID 8921392317, 13 clinicians
Justice Resource Institute, IncGroup PAC ID 3274430590, 24 clinicians

Practice addresses (Care Compare)

117 Park Ave
Suite 201a
West Springfield, MA 01089-3371
Phone (413) 732-7677

15 Union St
Suite 200
Lawrence, MA 01840-1823
Phone (978) 682-7289

380 Massachusetts Ave
Acton, MA 01720-3743
Phone (978) 264-3619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226525MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspoint Clinical Services, Inc Clinical CurrentSince Dec 1, 2025 Accepting new patients
Broad Meadow Cooperative LLC PastSince Apr 16, 2023 Accepting new patients

Locations

117 Park Ave
Ste 201A
West Springfield, MA 01089
Phone (413) 732-7677

117 Park Ave
Ste 205
West Springfield, MA 01089
Phone (413) 732-7677

Organizations & group practices 3

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1033634126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 UNION ST STE 215",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401929",
            "telephone_number": "978-382-8908",
            "fax_number": "978-686-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 UNION ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401866",
            "telephone_number": "978-382-8908",
            "fax_number": "978-686-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Cuba St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018103407",
            "country_code": "US",
            "telephone_number": "978-494-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "226525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.