Individual provider Active NPI

Marzena Carty, LICSW

  • Clinical Social Worker
  • Peabody, MA
National Provider Identifier
1144325580
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213083 Issued in MA
Practice address
1R Newbury St Ste 205
Peabody, MA 01960-3816
Phone
(978) 535-1606
Fax
(978) 535-2550
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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 213083 MA Primary

Addresses

Primary practice location

1R Newbury St Ste 205
Peabody, MA 01960-3816

Mailing address

1R Newbury St Ste 205
Peabody, MA 01960-3816
Phone (978) 535-1606

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
I20090402000239 MA Practitioner - Clinical Social Worker 9830246149 Reassigns benefits to 1 organization
Practice locations: Peabody, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Clinicians Group LLCGroup PAC ID 9032559109, 9 clinicians

Practice addresses (Care Compare)

1 R Newbury St
Suite 403
Peabody, MA 01960-3816
Phone (978) 535-1608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213083MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Clinicians Group LLC CurrentSince Jun 5, 2024 Accepting new patients

Locations

401 Andover St
Ste 12
North Andover, MA 01845
Phone (978) 535-1608

1R Newbury St
Ste 403
Peabody, MA 01960
Phone (978) 530-4426

1R Newbury St
Ste 205
Peabody, MA 01960
Phone (978) 535-1606

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1144325580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "978-535-1606",
            "fax_number": "978-535-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "978-535-1606",
            "fax_number": "978-535-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTY",
        "first_name": "MARZENA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.