Individual provider Active NPI

Deborah J Murray, LICSW-MA; LCSW-R-NY

  • Clinical Social Worker
  • Mattapoisett, MA
National Provider Identifier
1386658995
Registry record updated Nov 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111113 Issued in MA
Practice address
10 Winnatuxett Beach Rd
Mattapoisett, MA 02739-2127
Phone
(978) 337-3458
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111113 MA Primary
Clinical Social Worker 1041C0700X 075234 NY

Addresses

Primary practice location

10 Winnatuxett Beach Rd
Mattapoisett, MA 02739-2127

Mailing address

71 Hacks Point Rd
Earleville, MD 21919-1207
Phone (978) 337-3458

Other identifiers 1

IdentifierTypeStateIssuer
MU P22865OtherNYLCSW-R

Other names 1

  • Ms. Deborah J Murray Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
075234NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289001600000",
    "number": "1386658995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HACKS POINT RD",
            "city": "EARLEVILLE",
            "state": "MD",
            "postal_code": "219191207",
            "telephone_number": "978-337-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WINNATUXETT BEACH RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027392127",
            "telephone_number": "978-337-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LICSW-MA; LCSW-R-NY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111113",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-R",
            "identifier": "MU P22865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MURRAY",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "LICSW-MA; LCSW-R-NY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mattapoisett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2010; 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.