Individual provider Active NPI

Daphne Blount, L.I.C.S.W.

  • Clinical Social Worker
  • Lincoln, MA
National Provider Identifier
1194985671
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111572 Issued in MA
Practice address
11 Old County Rd
Lincoln, MA 01773-2907
Phone
(857) 205-3009
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 111572 MA Primary

Addresses

Primary practice location

11 Old County Rd
Lincoln, MA 01773-2907

Mailing address

11 Old County Rd
Lincoln, MA 01773-2907
Phone (857) 205-3009

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
I20210824001201 MA Practitioner - Clinical Social Worker 1153593447 Practice locations: Lincoln, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Lincoln, MA 01773
Phone (857) 205-3009

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1194985671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OLD COUNTY RD",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017732907",
            "telephone_number": "857-205-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OLD COUNTY RD",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017732907",
            "telephone_number": "857-205-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "DAPHNE",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, MA

Sources for this page

Verify at the official NPI Registry.