Individual provider Active NPI

Karlie Leah Cesarini, LICSW

  • Social Worker
  • Fall River, MA
National Provider Identifier
1144338708
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11073 Issued in MA
Practice address
1 North Main St
Fall River, MA 02720
Phone
(508) 679-4333
Fax
(508) 679-3833
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11073 MA Primary

Addresses

Primary practice location

1 North Main St
Fall River, MA 02720

Mailing address

1 North Main St
Fall River, MA 02720
Phone (508) 679-4333

Other names 1

  • Karlie Leah Willenbrock Other name

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
I20051102000659 MA Practitioner - Clinical Social Worker 8325066921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

520 Locust St
Fall River, MA 02720-5016
Phone (508) 679-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11073MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory P Cesarini LLC CurrentSince Apr 15, 2024 Accepting new patients
Solid Ground Psychotherapy Associates Inc. CurrentSince Apr 15, 2024 Accepting new patients

Locations

1 N Main St
Fall River, MA 02720
Phone (508) 496-6812

520 Locust St
Fall River, MA 02720
Phone (508) 679-4333

Organizations & group practices 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1144338708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02720",
            "telephone_number": "508-679-4333",
            "fax_number": "508-679-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02720",
            "telephone_number": "508-679-4333",
            "fax_number": "508-679-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESARINI",
        "first_name": "KARLIE",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "11073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLIE",
            "last_name": "WILLENBROCK",
            "middle_name": "LEAH",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.