Individual provider Active NPI

Christina Elizabeth Depathy, LICSW

  • Clinical Social Worker
  • Taunton, MA
National Provider Identifier
1154580991
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
313236 Issued in MA
Practice address
35 Summer St
Suite 202 a
Taunton, MA 02780-3469
Phone
(508) 207-8819
Fax
(508) 884-2476
NPI assigned
Jun 6, 2008
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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 313236 MA Primary

Addresses

Primary practice location

35 Summer St
Suite 202 a
Taunton, MA 02780-3469

Mailing address

35 Summer St
Suite 202 a
Taunton, MA 02780-3469
Phone (508) 207-8819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
313236MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute Past Accepting new patients
Justice Resource Institute Past Accepting new patients
Justice Resource Institute, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1154580991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUMMER ST",
            "address_2": "SUITE 202 A",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803469",
            "telephone_number": "508-207-8819",
            "fax_number": "508-884-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SUMMER ST",
            "address_2": "SUITE 202 A",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803469",
            "telephone_number": "508-207-8819",
            "fax_number": "508-884-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPATHY",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "313236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.