Individual provider Active NPI

Charlene Foss, LICSW

  • Clinical Social Worker
  • Wellesley, MA
National Provider Identifier
1245380690
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213545 Issued in MA
Practice address
148 Linden St
Suite 208 a
Wellesley, MA 02482-7900
Phone
(508) 962-1386
Fax
(508) 620-2472
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 213545 MA Primary

Addresses

Primary practice location

148 Linden St
Suite 208 a
Wellesley, MA 02482-7900

Mailing address

148 Linden St
Suite 208 a
Wellesley, MA 02482-7900
Phone (508) 962-1386

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
I20080513000361 MA Practitioner - Clinical Social Worker 6901975234 Practice locations: Natick, 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)

20 Main St
Natick, MA 01760-4525
Phone (508) 962-1386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213545MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1245380690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN ST",
            "address_2": "SUITE 208 A",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827900",
            "telephone_number": "508-962-1386",
            "fax_number": "508-620-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINDEN ST",
            "address_2": "SUITE 208 A",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827900",
            "telephone_number": "508-962-1386",
            "fax_number": "508-620-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.