Individual provider Active NPI

Catherine Pare, LICSW

  • Clinical Social Worker
  • Yarmouth Port, MA
National Provider Identifier
1316012131
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW 101802 Issued in MA
Practice address
947 Route 6a
Cranberry Court Suite 2a
Yarmouth Port, MA 02675-2171
Phone
(508) 362-3668
Fax
(508) 362-3668
NPI assigned
Nov 21, 2006
Last updated
Aug 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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 LICSW 101802 MA Primary

Addresses

Primary practice location

947 Route 6a
Cranberry Court Suite 2a
Yarmouth Port, MA 02675-2171

Mailing address

PO Box 664
East Dennis, MA 02641-0664
Phone (508) 362-3668

Other identifiers 1

IdentifierTypeStateIssuer
1894561OtherMAMBHP

Other names 1

  • Catherine Sherry-Pare Professional 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
I20050923000667 MA Practitioner - Clinical Social Worker 0840224341 Reassigns benefits to 1 organization
Practice locations: Yarmouth Port, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

947 Route 6a
2A
Yarmouth Port, MA 02675-2171
Phone (508) 326-3668

947 Route 6a 2a
Yarmouth Port, MA 02675

947 Rte
6A Suite 2a
Yarmouthport, MA 02675-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW 101802MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Limbic Resources Inc CurrentSince Feb 21, 2016 Accepting new patients

Locations

119 Cedar St
Hyannis, MA 02601
Phone (508) 771-2198

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1316012131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "EAST DENNIS",
            "state": "MA",
            "postal_code": "026410664",
            "telephone_number": "508-362-3668",
            "fax_number": "508-362-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 ROUTE 6A",
            "address_2": "CRANBERRY COURT SUITE 2A",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752171",
            "telephone_number": "508-362-3668",
            "fax_number": "508-362-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARE",
        "first_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW 101802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1894561",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "SHERRY-PARE",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.