Carol Slade, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101016 Issued in MA

Practice address

169 Elm St
Waltham, MA 02453-5356

Phone

(781) 894-8440

Fax

(781) 894-1202

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridgewell, Inc

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1033262860
  Medicare reassignment NPD
• Bridgewell Counseling Services

  • Community/Behavioral Health Agency
  • Chelmsford, MA
  • NPI 1326469867
  NPD (past)
• Counseling & Consultation Associates, Inc

  • Psychologist
  • Arlington, MA
  • NPI 1467076018
  NPD (past)
• Robert P. Austin PH.D. P.C.

  dba Austin Associates

  • Group Psychotherapy Psychologist
  • Arlington, MA
  • NPI 1376568857
  NPD (past)
• The Edinburg Center Inc

  • Psychiatry Physician
  • Bedford, MA
  • NPI 1073617353

  Clinical

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043393374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ELM ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535356",
            "telephone_number": "781-894-8440",
            "fax_number": "781-894-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ELM ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535356",
            "telephone_number": "781-894-8440",
            "fax_number": "781-894-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L Sirois, RN
• Nancy Siska, M.A., M.S., CCC-SLP
• Marion Sitomer, OT
• Emma Elizabeth Skinner
• Laura Skinner
• Kelsey Slater
• Judith C. Sleeper, MSW
• Mark Paul Slovenkai, M.D.
• Heather Ann Smidt, ACUPUNCTURIST
• Denise Smigielski, RPH

• Clinical Social Worker in Waltham, MA
• Providers in Waltham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.