Active NPI
Sara Lee-Conroy Noone, LICSW
- Social Worker
- Somerville, MA
National Provider Identifier
1093987489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 214294
- Practice address
- 111 South St.
Somerville, MA 02143 - Phone
- (617) 284-5130
- Fax
- (617) 591-0239
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 214294 | MA | Primary |
Addresses
Primary practice location
111 South St.
Somerville, MA 02143
Mailing address
111 South St.
Somerville, MA 02143
Phone (617) 284-5130
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214294 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1093987489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SOUTH ST.",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02143",
"telephone_number": "617-284-5130",
"fax_number": "617-591-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SOUTH ST.",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02143",
"telephone_number": "617-284-5130",
"fax_number": "617-591-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONE",
"first_name": "SARA",
"middle_name": "LEE-CONROY",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "214294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.