Individual provider Active NPI

Patrick Thomas Hale, MSW, LICSW

  • Clinical Social Worker
  • Everett, MA
National Provider Identifier
1114266848
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000119955 Issued in MA
Practice address
173 Chelsea St
Everett, MA 02149-4632
Phone
(781) 388-6243
Fax
(617) 387-9768
NPI assigned
Jan 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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 000119955 MA Primary

Addresses

Primary practice location

173 Chelsea St
Everett, MA 02149-4632

Mailing address

51 Pleasant St # 1179
Malden, MA 02148-4904
Phone (617) 420-2296

Other practice location 1

51 Pleasant St # 1179
Malden, MA 02148-4904
Phone (617) 420-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161205001592 MA Practitioner - Clinical Social Worker 0446530638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eliot Community Human ServicesGroup PAC ID 2062488000, 82 clinicians

Practice addresses (Care Compare)

173 Chelsea St
Everett, MA 02149-4632
Phone (781) 388-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000119955MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kindmind Crossroads & Counseling, LLC Clinical Current Accepting new patients
Eliot Community Human Services CurrentSince Oct 9, 2016 Accepting new patients
Eliot Community Human Services Current Accepting new patients

Locations

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

51 Pleasant St
Malden, MA 02148
Phone (617) 420-2296

Organizations & group practices 3

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1114266848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PLEASANT ST # 1179",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484904",
            "telephone_number": "617-420-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 CHELSEA ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021494632",
            "telephone_number": "781-388-6243",
            "fax_number": "617-387-9768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Pleasant St # 1179",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021484904",
            "country_code": "US",
            "telephone_number": "617-420-2296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "PATRICK",
        "middle_name": "THOMAS",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000119955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.