Individual provider Active NPI

Anna Lisa Seery, LICSW

  • Clinical Social Worker
  • Kingston, MA
National Provider Identifier
1275016180
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118685 Issued in MA
Practice address
1 Jones River Dr
Kingston, MA 02364-1519
Phone
(781) 405-5266
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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 118685 MA Primary

Addresses

Primary practice location

1 Jones River Dr
Kingston, MA 02364-1519

Mailing address

1 Jones River Dr
Kingston, MA 02364-1519
Phone (781) 405-5266

Other practice location 1

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 732-8709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118685MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1275016180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JONES RIVER DR",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641519",
            "telephone_number": "781-405-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JONES RIVER DR",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641519",
            "telephone_number": "781-405-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Sandwich St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602183",
            "country_code": "US",
            "telephone_number": "508-732-8709",
            "fax_number": "508-732-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEERY",
        "first_name": "ANNA",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.