Doreen Fagerberg, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

210656 Issued in MA

Practice address

1233 State Rd
Plymouth, MA 02360-5133

Phone

(508) 224-7701

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jonathan H Schwartz MD, PLLC

  • Multi-Specialty Clinic/Center
  • New Bedford, MA
  • NPI 1528833522

  Mental Health

  NPD (past)
• Southshore TMS LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1801442801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1144532995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 STATE RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605133",
            "telephone_number": "508-224-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 STATE RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605133",
            "telephone_number": "508-224-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGERBERG",
        "first_name": "DOREEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "210656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Exume
• Eye Health Services,Inc.
• Hillary C Ezrin, MS, LRC, CRC
• Dima Ezzedine, M.D.
• Diane D Fafard
• Brian M Faghan, PTA
• Ann Marie Savignano Fahey
• Scott Fairfield, M.D.
• Alyssa Falvey
• Shawna Fanning, LMHC, LADC I, CADC

• Mental Health Counselor in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.