Active NPI
Theodora Rush Slone, LCSW
- Social Worker
- Methuen, MA
National Provider Identifier
1346762994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 000222863
- Practice address
- 12 Ingalls CT
Methuen, MA 01844 - Phone
- (978) 513-7288
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 000222863 | MA | Primary |
Addresses
Primary practice location
12 Ingalls CT
Methuen, MA 01844
Mailing address
94 1St St
Lowell, MA 01850-2541
Phone (631) 827-2813
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200226002396 | MA | Practitioner - Clinical Social Worker | 0143657452 | Practice locations: Lowell, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000222863 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theodora Slone LCSW LLC | Current | Accepting new patients | |
| Travis Corp | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Lindenhurst, NY
- NPI 1174287130
-
- School Counselor
- Lawrence, MA
- NPI 1407106990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1346762994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 1ST ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018502541",
"telephone_number": "631-827-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 INGALLS CT",
"city": "METHUEN",
"state": "MA",
"postal_code": "01844",
"telephone_number": "978-513-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLONE",
"first_name": "THEODORA",
"middle_name": "RUSH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "000222863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.