Individual provider Active NPI

Elaine Elizabeth Hatow, LICSW, BCD

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1225199920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104484 LICSW Issued in MA
Practice address
23 Pleasant St
Suite 2
Newton, MA 02459-1836
Phone
(617) 558-2724
Fax
(617) 558-2724
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

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 104484 LICSW MA Primary

Addresses

Primary practice location

23 Pleasant St
Suite 2
Newton, MA 02459-1836

Mailing address

646 Grove St
Newton, MA 02462-1319
Phone (617) 558-2724

Other identifiers 1

IdentifierTypeStateIssuer
701874OtherMATUFTS ASSOCIATED HEALTH P

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
I20050917000081 MA Practitioner - Clinical Social Worker 7911930185 Practice locations: Newton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

646 Grove St
Newton, MA 02462-1319
Phone (617) 558-2724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104484 LICSWMAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225199920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 GROVE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621319",
            "telephone_number": "617-558-2724",
            "fax_number": "617-558-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLEASANT ST",
            "address_2": "SUITE 2",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591836",
            "telephone_number": "617-558-2724",
            "fax_number": "617-558-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATOW",
        "first_name": "ELAINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104484 LICSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ASSOCIATED HEALTH P",
            "identifier": "701874",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.