Individual provider Active NPI

Anna Munro, LICSW

  • Clinical Social Worker
  • Northborough, MA
National Provider Identifier
1154781995
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118219 Issued in MA
Practice address
130 Main St Ste 2D
Northborough, MA 01532-1985
Phone
(508) 709-7221
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

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 118219 MA Primary

Addresses

Primary practice location

130 Main St Ste 2D
Northborough, MA 01532-1985

Mailing address

130 Main St Ste 2D
Northborough, MA 01532-1985
Phone (508) 709-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 24, 2019 through Nov 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118219MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Munro Psychotherapy, P.C. Clinical CurrentSince Jun 7, 2020 Accepting new patients

Locations

130 Main St
Ste 2D
Northborough, MA 01532
Phone (508) 263-0058

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1154781995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 2D",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321985",
            "telephone_number": "508-709-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 2D",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321985",
            "telephone_number": "508-709-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNRO",
        "first_name": "ANNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

Verify at the official NPI Registry.