Individual provider Active NPI

Amy Beth Carafoli Pires, LICSW

  • Social Worker
  • Sagamore Beach, MA
National Provider Identifier
1346739588
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1030186 Issued in MA
Practice address
25 Siasconset Dr
Sagamore Beach, MA 02562-2743
Phone
(508) 833-3620
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1030186 MA Primary

Addresses

Primary practice location

25 Siasconset Dr
Sagamore Beach, MA 02562-2743

Mailing address

25 Siasconset Dr
Sagamore Beach, MA 02562-2743
Phone (508) 833-3620

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

LicenseStateTypeSpecialty
1030186MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1346739588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SIASCONSET DR",
            "city": "SAGAMORE BEACH",
            "state": "MA",
            "postal_code": "025622743",
            "telephone_number": "508-833-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SIASCONSET DR",
            "city": "SAGAMORE BEACH",
            "state": "MA",
            "postal_code": "025622743",
            "telephone_number": "508-833-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAFOLI PIRES",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1030186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sagamore Beach, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.