Individual provider Active NPI

Carmel Burke O'Doherty-Popp, LICSW

  • Clinical Social Worker
  • Hingham, MA
National Provider Identifier
1245745678
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117081 Issued in MA
Practice address
300 Linden Ponds Way
Hingham, MA 02043-3791
Phone
(781) 534-7100
Fax
(781) 534-7358
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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 117081 MA Primary

Addresses

Primary practice location

300 Linden Ponds Way
Hingham, MA 02043-3791

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (781) 534-7100

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
I20180118001169 MA Practitioner - Clinical Social Worker 4486913597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Linden Ponds Way
Hingham, MA 02043-3791
Phone (781) 534-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117081MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Jan 1, 2018 Accepting new patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

300 Linden Ponds Way
Hingham, MA 02043
Phone (781) 534-7100

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

5525 Research Park Dr
Fl 4
Catonsville, MD 21228
Phone (410) 247-5602

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": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1245745678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "781-534-7100",
            "fax_number": "781-534-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LINDEN PONDS WAY",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433791",
            "telephone_number": "781-534-7100",
            "fax_number": "781-534-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DOHERTY-POPP",
        "first_name": "CARMEL",
        "middle_name": "BURKE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.