Active NPI
Nancy Stolarz, LICSW
- Clinical Social Worker
- Canton, MA
National Provider Identifier
1104231885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1025114
- Practice address
- 275 Turnpike St
Suite 105
Canton, MA 02021-2357 - Phone
- (781) 821-1760
- Fax
- (781) 821-1743
- NPI assigned
- Jun 21, 2014
- 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 | 1025114 | MA | Primary |
Addresses
Primary practice location
275 Turnpike St
Suite 105
Canton, MA 02021-2357
Mailing address
275 Turnpike St
Suite 105
Canton, MA 02021-2357
Phone (781) 821-1760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 25, 2020 through May 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403308800000",
"number": "1104231885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 TURNPIKE ST",
"address_2": "SUITE 105",
"city": "CANTON",
"state": "MA",
"postal_code": "020212357",
"telephone_number": "781-821-1760",
"fax_number": "781-821-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 TURNPIKE ST",
"address_2": "SUITE 105",
"city": "CANTON",
"state": "MA",
"postal_code": "020212357",
"telephone_number": "781-821-1760",
"fax_number": "781-821-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLARZ",
"first_name": "NANCY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-21",
"last_updated": "2014-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1025114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.