Individual provider Active NPI

Carol Mitchell, LICSW

  • Clinical Social Worker
  • Framingham, MA
National Provider Identifier
1225147994
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103265 Issued in MA
Practice address
63 Fountain St Ste 402
Framingham, MA 01702-6280
Phone
(508) 872-4813
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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 103265 MA Primary

Addresses

Primary practice location

63 Fountain St Ste 402
Framingham, MA 01702-6280

Mailing address

63 Fountain St
Ste 402
Framingham, MA 01702-6280
Phone (508) 655-8919

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
I20050923000616 MA Practitioner - Clinical Social Worker 1254365745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Framingham Psychiatric Care LLCGroup PAC ID 1557792314, 9 clinicians

Practice addresses (Care Compare)

1253 Worcester Rd
Suite 404
Framingham, MA 01701-5250
Phone (508) 488-4075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103265MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Framingham Psychiatric Care LLC CurrentSince Mar 2, 2020 Accepting new patients

Locations

1253 Worcester Rd
Ste 404
Framingham, MA 01701
Phone (508) 488-4075

Organizations & group practices 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1225147994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FOUNTAIN ST",
            "address_2": "STE 402",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026280",
            "telephone_number": "508-655-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FOUNTAIN ST STE 402",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026280",
            "telephone_number": "508-872-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CAROL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.