Individual provider Active NPI

Caitlin Noone, LICSW

  • Clinical Social Worker
  • Lynn, MA
National Provider Identifier
1376791939
Registry record updated Dec 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117017 Issued in MA
Practice address
112 Market St
Lynn, MA 01901-1125
Phone
(781) 644-2628
Fax
(781) 595-4393
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2013

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 117017 MA Primary

Addresses

Primary practice location

112 Market St
Lynn, MA 01901-1125

Mailing address

360 Market St
Apt. 12a
Brighton, MA 02135-2743
Phone (978) 621-7696

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
117017MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387065600000",
    "number": "1376791939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MARKET ST",
            "address_2": "APT. 12A",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352743",
            "telephone_number": "978-621-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARKET ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011125",
            "telephone_number": "781-644-2628",
            "fax_number": "781-595-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONE",
        "first_name": "CAITLIN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2013-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; 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.