Active NPI
Demi McLaren, LICSW
- Clinical Social Worker
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 19 Tacoma St
Worcester, MA 01605-3516 - Phone
- (508) 852-1805
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
19 Tacoma St
Worcester, MA 01605-3516
Mailing address
19 Tacoma St
Worcester, MA 01605-3516
Other practice location 1
164 Main St
Boylston, MA 01505-1928
Phone (508) 928-7555
Other practice location 2
33 Hadwen Ln
Worcester, MA 01602-2600
Phone (774) 275-1343
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kerry@richersoilcounseling.com | ||
| Direct Messaging Address | demi@demimclarenlicsw.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward M. Kennedy Community Health Center, Inc | Single Specialty | Current | Accepting new patients |
| Edward M. Kennedy Community Health Center, Inc | Current | Accepting new patients | |
| Demi McLaren, Licsw, LLC | Clinical | Current | Accepting new patients |
| Edward M. Kennedy Community Health Center, Inc | Past | Accepting new patients | |
| Richer Soil Counseling LLC | Clinical | Past | Accepting new patients |
Locations
41 Cape Rd
Milford, MA 01757
Phone (508) 270-5750
605 Lincoln St
Worcester, MA 01605
Phone (508) 856-0104
19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122
650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Worcester, MA
- NPI 1356192306
-
- Federally Qualified Health Center (FQHC)
- Worcester, MA
- NPI 1316324650
-
- Federally Qualified Health Center (FQHC)
- Worcester, MA
- NPI 1609842152
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Milford, MA
- NPI 1992137426
-
- Clinical Social Worker
- Boylston, MA
- NPI 1447712575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1063052827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 TACOMA ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 TACOMA ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053516",
"telephone_number": "508-852-1805"
}
],
"practiceLocations": [
{
"address_1": "164 Main St",
"address_purpose": "LOCATION",
"city": "Boylston",
"state": "MA",
"postal_code": "015051928",
"country_code": "US",
"telephone_number": "508-928-7555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33 Hadwen Ln",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016022600",
"country_code": "US",
"telephone_number": "774-275-1343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAREN",
"first_name": "DEMI",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kerry@richersoilcounseling.com",
"affiliation": "N",
"address_1": "164 Main St",
"city": "Boylston",
"state": "MA",
"country_code": "US",
"postal_code": "015051928",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "demi@demimclarenlicsw.com",
"affiliation": "N",
"address_1": "33 Hadwen Ln",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016022600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.