Individual provider Active NPI

Robert F Finn-Clarke, LICSW

  • Clinical Social Worker
  • North Dartmouth, MA
National Provider Identifier
1053532515
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112071 Issued in MA
Practice address
92 Faunce Corner Rd
Suite 110
North Dartmouth, MA 02747-1262
Phone
(508) 999-3126
Fax
(508) 991-8579
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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 112071 MA Primary

Addresses

Primary practice location

92 Faunce Corner Rd
Suite 110
North Dartmouth, MA 02747-1262

Mailing address

5 Clinton PL
New Bedford, MA 02740-4987
Phone (508) 994-1109

Other names 1

  • Robert F Finn-Clarke Professional name

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
I20041220000240 MA Practitioner - Clinical Social Worker 3678530805 Practice locations: North Dartmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

92 Faunce Corner Rd
Unit 110
North Dartmouth, MA 02747-1262
Phone (508) 994-1109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Velcea M.D. P.C. PastSince Jan 9, 2009 Accepting new patients

Organizations & group practices 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1053532515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CLINTON PL",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404987",
            "telephone_number": "508-994-1109",
            "fax_number": "508-994-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FAUNCE CORNER RD",
            "address_2": "SUITE 110",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471262",
            "telephone_number": "508-999-3126",
            "fax_number": "508-991-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINN-CLARKE",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "FINN-CLARKE",
            "middle_name": "F",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.