Active NPI
Arlene Diliddo Bragg, LICSW
- Clinical Social Worker
- North Grafton, MA
National Provider Identifier
1316025638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105148
- Practice address
- 8 Vincent Rd
North Grafton, MA 01536-1614 - Phone
- (508) 839-7451
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105148 | MA | Primary |
Addresses
Primary practice location
8 Vincent Rd
North Grafton, MA 01536-1614
Mailing address
8 Vincent Rd
North Grafton, MA 01536-1614
Phone (508) 839-7451
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105148 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316025638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 VINCENT RD",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361614",
"telephone_number": "508-839-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 VINCENT RD",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361614",
"telephone_number": "508-839-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGG",
"first_name": "ARLENE",
"middle_name": "DILIDDO",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "105148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Grafton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.