Individual provider Active NPI

Kathleen Ann Macarthur, LICSW

  • Clinical Social Worker
  • Salem, NH
National Provider Identifier
1215995865
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1464 Issued in NH
Practice address
87 Styles Rd
Suite 106
Salem, NH 03079-2899
Phone
(603) 893-7700
Fax
(603) 893-7331
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1464 NH Primary
Clinical Social Worker 1041C0700X 111712 MA

Addresses

Primary practice location

87 Styles Rd
Suite 106
Salem, NH 03079-2899

Mailing address

16 Stillwater Dr
Nashua, NH 03062-2250
Phone (603) 759-3536

Other identifiers 1

IdentifierTypeStateIssuer
30211154MedicaidNH

Other names 1

  • Kathleen Ann Lynch Former name

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
I20130109000374 MA Practitioner - Clinical Social Worker 2668364035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1464NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates of Chelmsford,LLC Clinical CurrentSince Nov 15, 2012 Accepting new patients
Salem Psychological Associates, PA PastSince Apr 3, 2001 Accepting new patients

Locations

73 Princeton St
Ste 212
North Chelmsford, MA 01863
Phone (978) 424-6789

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1215995865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STILLWATER DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622250",
            "telephone_number": "603-759-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STYLES RD",
            "address_2": "SUITE 106",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792899",
            "telephone_number": "603-893-7700",
            "fax_number": "603-893-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARTHUR",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1464",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111712",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30211154",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LYNCH",
            "middle_name": "ANN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.