Active NPI
Lourdes C Tangarone, LICSW
- Clinical Social Worker
- Haverhill, MA
National Provider Identifier
1073831137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 1019339-1
- Practice address
- 10 Phoenix Row
Haverhill, MA 01832-5734 - Phone
- (603) 548-8377
- NPI assigned
- May 12, 2010
- 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 | SW 1019339-1 | MA | Primary |
Addresses
Primary practice location
10 Phoenix Row
Haverhill, MA 01832-5734
Mailing address
28 Longview Dr
Hampstead, NH 03841-2015
Phone (603) 548-8377
Other names 1
- Lourdes Castillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110328000428 | MA | Practitioner - Clinical Social Worker | 6901089093 | Practice locations: Haverhill, MA |
| I20130626000504 | NH | Practitioner - Clinical Social Worker | 6901089093 | Practice locations: Chester, NH; Hampstead, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6 Mary E Clark Dr
Suite 3
Hampstead, NH 03841-2288
Phone (978) 382-3658
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 1019339-1 | MA | MD | Clinical Social Worker |
| 1544 | NH | MD | Veterinarian |
| 1019339 | MA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silvia R. Von Sacken, PLLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Hampstead, NH
- NPI 1780865105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1073831137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LONGVIEW DR",
"city": "HAMPSTEAD",
"state": "NH",
"postal_code": "038412015",
"telephone_number": "603-548-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PHOENIX ROW",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018325734",
"telephone_number": "603-548-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGARONE",
"first_name": "LOURDES",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "SW 1019339-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOURDES",
"last_name": "CASTILLO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.