Individual provider Active NPI

Rosalie Degrace, LICSW

  • Clinical Social Worker
  • Hyannis, MA
National Provider Identifier
1396866596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113829 Issued in MA
Practice address
60 Perseverance Way
Hyannis, MA 02601-1812
Phone
(508) 862-0600
Fax
(508) 862-0590
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 113829 MA Primary

Addresses

Primary practice location

60 Perseverance Way
Hyannis, MA 02601-1812

Mailing address

370 Lumbert Mill Rd
Centerville, MA 02632-2718
Phone (508) 428-8951

Other identifiers 1

IdentifierTypeStateIssuer
113829OtherMASOCIAL WORK LICENSE

Other names 1

  • Ms. Rosalie Degrace-Paron Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113829MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396866596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LUMBERT MILL RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322718",
            "telephone_number": "508-428-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PERSEVERANCE WAY",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011812",
            "telephone_number": "508-862-0600",
            "fax_number": "508-862-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRACE",
        "first_name": "ROSALIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "113829",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "DEGRACE-PARON",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.