Individual provider Active NPI

Raymond Laureat Demers Sr., LCSW

  • Clinical Social Worker
  • Gardner, MA
National Provider Identifier
1386976926
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
214644 Issued in MA
Practice address
31 Lake St
Gardner, MA 01440-3879
Phone
(978) 632-9400
NPI assigned
Feb 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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 214644 MA Primary

Addresses

Primary practice location

31 Lake St
Gardner, MA 01440-3879

Mailing address

31 Lake St
PO Box 449
Gardner, MA 01440-3879
Phone (978) 632-9400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130705000141 MA Practitioner - Clinical Social Worker 4789824285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

1 Arch PL
Greenfield, MA 01301-2457
Phone (413) 774-1000

205 School St
Suite 301
Gardner, MA 01440-2781
Phone (978) 632-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
214644MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince Jan 11, 2016 Accepting new patients

Locations

31 Lake St
Ste 161
Gardner, MA 01440

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1386976926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LAKE ST",
            "address_2": "PO BOX 449",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403879",
            "telephone_number": "978-632-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LAKE ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403879",
            "telephone_number": "978-632-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERS",
        "first_name": "RAYMOND",
        "middle_name": "LAUREAT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "214644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.