Individual provider Active NPI

Carrie L Stoner, LICSW

  • Clinical Social Worker
  • Ipswich, MA
National Provider Identifier
1205920824
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1028122 Issued in MA
Practice address
25R Market Street
Ipswich, MA 01938-2211
Phone
(978) 356-1776
Fax
(978) 356-2822
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 1028122 MA Primary

Addresses

Primary practice location

25R Market Street
Ipswich, MA 01938-2211

Mailing address

25R Market Street
Ipswich, MA 01938-2211
Phone (978) 356-1776

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
1028122MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Corporation PastSince May 8, 2017 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205920824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25R MARKET STREET",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382211",
            "telephone_number": "978-356-1776",
            "fax_number": "978-356-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25R MARKET STREET",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382211",
            "telephone_number": "978-356-1776",
            "fax_number": "978-356-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "CARRIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1028122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.