Individual provider Active NPI

Lourdes C Tangarone, LICSW

  • Clinical Social Worker
  • Haverhill, MA
National Provider Identifier
1073831137
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 1019339-1 Issued in MA
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

Updated by the provider on May 12, 2010

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 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
SW 1019339-1MAMDClinical Social Worker
1544NHMDVeterinarian
1019339MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silvia R. Von Sacken, PLLC Clinical PastSince Mar 1, 2007 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": "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

Verify at the official NPI Registry.