Individual provider Active NPI

Cristin Heagney Poirier, LICSW

  • Clinical Social Worker
  • Taunton, MA
National Provider Identifier
1164550901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111475 Issued in MA
Practice address
1 Washington St
Mill River Professional Center
Taunton, MA 02780-3960
Phone
(508) 977-8018
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 111475 MA Primary

Addresses

Primary practice location

1 Washington St
Mill River Professional Center
Taunton, MA 02780-3960

Mailing address

29 Davenport St
Taunton, MA 02780-4705
Phone (508) 997-8018

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
I20160817002502 MA Practitioner - Clinical Social Worker 1456646330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vendetti Wellness Group PCGroup PAC ID 7517238959, 6 clinicians

Practice addresses (Care Compare)

20 Cabot Blvd
Suite 227
Mansfield, MA 02048-1183
Phone (508) 618-1307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling of Bristol County, Inc. CurrentSince Jun 7, 2016 Accepting new patients
Community Counseling of Bristol County Inc CurrentSince Jun 7, 2016 Accepting new patients

Locations

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164550901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DAVENPORT ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804705",
            "telephone_number": "508-997-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "MILL RIVER PROFESSIONAL CENTER",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803960",
            "telephone_number": "508-977-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "CRISTIN",
        "middle_name": "HEAGNEY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.