Individual provider Active NPI

Barbara Lou Fenby

  • Clinical Social Worker
  • Marlborough, MA
National Provider Identifier
1215411350
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104423 Issued in MA
Practice address
1 Cullinane Dr
Marlborough, MA 01752-1306
Phone
(508) 481-7893
Fax
(508) 481-7893
NPI assigned
Sep 24, 2018
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 104423 MA Primary

Addresses

Primary practice location

1 Cullinane Dr
Marlborough, MA 01752-1306

Mailing address

1 Cullinane Dr
Marlborough, MA 01752-1306
Phone (508) 481-7893

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104423MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1215411350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CULLINANE DR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521306",
            "telephone_number": "508-481-7893",
            "fax_number": "508-481-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CULLINANE DR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521306",
            "telephone_number": "508-481-7893",
            "fax_number": "508-481-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENBY",
        "first_name": "BARBARA",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.