Individual provider Active NPI

Peter Wayne Parsons, M.S.W./L.I.C.S.W.

  • Clinical Social Worker
  • Gloucester, MA
National Provider Identifier
1194875757
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1024237 Issued in MA
Practice address
37 Washington St Apt 4
Gloucester, MA 01930-3550
Phone
(978) 879-4455
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 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 1024237 MA Primary

Addresses

Primary practice location

37 Washington St Apt 4
Gloucester, MA 01930-3550

Mailing address

37 Washington St Apt 4
Gloucester, MA 01930-3550
Phone (978) 879-4455

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba Past Accepting new patients
Catholic Charitable Bureau of the Archdiocese of Boston, Inc. PastSince Feb 17, 2004 Accepting new patients
North Shore Counseling Center Inc PastSince Sep 21, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1194875757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WASHINGTON ST APT 4",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303550",
            "telephone_number": "978-879-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WASHINGTON ST APT 4",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303550",
            "telephone_number": "978-879-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "PETER",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "M.S.W./L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.