Individual provider Active NPI

M. Carole Drago, LICSW

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1376683177
Registry record updated Feb 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020937 Issued in MA
Practice address
114 Waltham St
Lexington
Lexington, MA 02421-5415
Phone
(978) 884-7649
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1020937 MA Primary

Addresses

Primary practice location

114 Waltham St
Lexington
Lexington, MA 02421-5415

Mailing address

PO Box 896
Acton
Acton, MA 01720-0896
Phone (978) 884-7649

Other identifiers 2

IdentifierTypeStateIssuer
P10320OtherMABCBS
329227OtherMATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298764800000",
    "number": "1376683177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "address_2": "ACTON",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017200896",
            "telephone_number": "978-884-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WALTHAM ST",
            "address_2": "LEXINGTON",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215415",
            "telephone_number": "978-884-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGO",
        "first_name": "M. CAROLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P10320",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "329227",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.