Nicole Jean Larocque, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114971 Issued in MA

Practice address

525 Massachusetts Ave Ste 101F
Acton, MA 01720-2963

Phone

(617) 331-1180

NPI assigned

May 14, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Njlarocque Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Acton, MA
  • NPI 1013420181
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316265374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MASSACHUSETTS AVE STE 101F",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202963",
            "telephone_number": "617-331-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MASSACHUSETTS AVE STE 101F",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202963",
            "telephone_number": "617-331-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Summer St",
            "address_2": "Unit 2",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021432333",
            "country_code": "US",
            "telephone_number": "617-331-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Summer St",
            "address_2": "Unit 2",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021432333",
            "country_code": "US",
            "telephone_number": "617-331-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCQUE",
        "first_name": "NICOLE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kruis
• Lauren Ann Kulakowski
• Amber Lee Kule
• Joseph Justin Laliberte, M.S.W., L.I.C.S.W.
• Anjali Lappin
• Emily Sara Lavine, LICSW
• William Law, D.M.D.
• Lisa C Lawlor, LCSW
• Kylea Lawn
• Jessica B Lawrence, PMHNP

• Clinical Social Worker in Acton, MA
• Providers in Acton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.