Individual provider Active NPI

Demi McLaren, LICSW

  • Clinical Social Worker
  • Worcester, MA
National Provider Identifier
1063052827
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc Single Specialty CurrentSince Feb 1, 2021 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Feb 1, 2021 Accepting new patients
Demi McLaren, Licsw, LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients
Richer Soil Counseling LLC Clinical PastSince Jan 26, 2020 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.

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

Verify at the official NPI Registry.