NPIMap

Individual provider Active NPI

Paul Hodlin, MSW

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1063860385
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105322 Issued in MA
Practice address
1419 Hancock St.
Suite 200
Quincy, MA 02026
Phone
(617) 770-9690
Fax
(617) 770-9692
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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 105322 MA Primary

Addresses

Primary practice location

1419 Hancock St.
Suite 200
Quincy, MA 02026

Mailing address

1419 Hancock St.
Suite 200
Quincy, MA 02026
Phone (617) 770-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105322MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of Massachusetts Inc Past Accepting new patients
The Family Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/voamass/r4/

Organizations & group practices 2

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1063860385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 HANCOCK ST.",
            "address_2": "SUITE 200",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "617-770-9690",
            "fax_number": "617-770-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HANCOCK ST.",
            "address_2": "SUITE 200",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "617-770-9690",
            "fax_number": "617-770-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODLIN",
        "first_name": "PAUL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.