Individual provider Active NPI

Sara P Silva, LICSW

  • Clinical Social Worker
  • Milton, MA
National Provider Identifier
1306876222
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027410 Issued in MA
Practice address
464 Granite Ave
Suite 25
Milton, MA 02186-5625
Phone
(617) 259-8004
Fax
(617) 698-1274
NPI assigned
Jul 4, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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 1027410 MA Primary

Addresses

Primary practice location

464 Granite Ave
Suite 25
Milton, MA 02186-5625

Mailing address

11 Bearse Ave
#3
Dorchester Center, MA 02124-5802
Phone (617) 259-8004

Other names 1

  • Ms. Sara E Pontious Former name

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
I20050802000074 MA Practitioner - Clinical Social Worker 5395773287 Practice locations: Dorchester, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Bearse Ave
Apt 3
Dorchester, MA 02124-5866
Phone (617) 259-8004

11 Bearse Ave Apt
Suite 3
Dorchester, MA 02124-5866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahimsa Center for Growth and Development Clinical Past Accepting new patients

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1306876222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BEARSE AVE",
            "address_2": "#3",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245802",
            "telephone_number": "617-259-8004",
            "fax_number": "617-698-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 GRANITE AVE",
            "address_2": "SUITE 25",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865625",
            "telephone_number": "617-259-8004",
            "fax_number": "617-698-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "SARA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PONTIOUS",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.