Individual provider Active NPI

Sonja Lincoln Vincola, LICSW

  • Clinical Social Worker
  • Newburyport, MA
National Provider Identifier
1215237664
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113786 Issued in MA
Practice address
45 Pleasant St
Newburyport, MA 01950-2605
Phone
(978) 853-8742
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 113786 MA Primary

Addresses

Primary practice location

45 Pleasant St
Newburyport, MA 01950-2605

Mailing address

45 Pleasant St
Newburyport, MA 01950-2605
Phone (978) 853-8742

Other practice location 1

391 Varnum Ave
Lowell, MA 01854-2119
Phone (978) 322-5095 ext. 7

Other practice location 2

61 Boxford Rd
Rowley, MA 01969-2419
Phone (978) 853-8742

Other practice location 3

45 Pleasant St Ste 8
Newburyport, MA 01950
Phone (978) 852-8742

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
I20130613000276 MA Practitioner - Clinical Social Worker 8123267630 Practice locations: Rowley, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Rowley, MA 01969
Phone (978) 853-8742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113786MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1215237664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PLEASANT ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502605",
            "telephone_number": "978-853-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PLEASANT ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502605",
            "telephone_number": "978-853-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Varnum Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018542119",
            "country_code": "US",
            "telephone_number": "978-322-5095 x7",
            "fax_number": "978-322-5097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Boxford Rd",
            "address_purpose": "LOCATION",
            "city": "Rowley",
            "state": "MA",
            "postal_code": "019692419",
            "country_code": "US",
            "telephone_number": "978-853-8742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Pleasant St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "01950",
            "country_code": "US",
            "telephone_number": "978-852-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCOLA",
        "first_name": "SONJA",
        "middle_name": "LINCOLN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.