Active NPI
Deborah M Archer, LICSW
- School Social Worker
- Brockton, MA
National Provider Identifier
1336737634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 117751
- Practice address
- 370 Howard St
Brockton, MA 02302-1000 - Phone
- (508) 587-1716
- NPI assigned
- Jan 4, 2021
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 117751 | MA | Primary |
Addresses
Primary practice location
370 Howard St
Brockton, MA 02302-1000
Mailing address
370 Howard St
Brockton, MA 02302-1000
Phone (508) 587-1716
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | darcher@selfhelpinc.org | Direct | |
| Direct Messaging Address | darcher@selfhelpinc.org | Direct |
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 |
|---|---|---|---|
| 117751 | MA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1336737634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 HOWARD ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021000",
"telephone_number": "508-587-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 HOWARD ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021000",
"telephone_number": "508-587-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "DEBORAH",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "117751",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "darcher@selfhelpinc.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "370 Howard St",
"city": "Brockton",
"state": "MA",
"country_code": "US",
"postal_code": "023021000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "darcher@selfhelpinc.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "370 Howard St",
"city": "Brockton",
"state": "MA",
"country_code": "US",
"postal_code": "023021000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.