Individual provider Active NPI

Laura O'Meara, LICSW

  • Clinical Social Worker
  • Lynn, MA
National Provider Identifier
1407005242
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1025676 Issued in MA
Practice address
270 Union St
3Rd Floor
Lynn, MA 01901-1348
Phone
(781) 268-2200
Fax
(781) 268-0465
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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 1025676 MA Primary

Addresses

Primary practice location

270 Union St
3Rd Floor
Lynn, MA 01901-1348

Mailing address

270 Union St
3Rd Floor
Lynn, MA 01901-1348
Phone (781) 268-2200

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
I20040525000735 MA Practitioner - Clinical Social Worker 6002897204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Associates of Lynn PCGroup PAC ID 3476467952, 6 clinicians

Practice addresses (Care Compare)

173 Oxford St
Lynn, MA 01901-1117
Phone (781) 268-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1025676MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Lynn PC CurrentSince Nov 4, 2010 Accepting new patients
Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba CurrentSince Feb 17, 2004 Accepting new patients
Catholic Charitable Bureau of the Archdiocese of Boston, Inc. CurrentSince Feb 17, 2004 Accepting new patients

Locations

686 N Main St
Brockton, MA 02301
Phone (508) 587-0815

173 Oxford St
Lynn, MA 01901
Phone (781) 268-2200

270 Union St
Ste 3
Lynn, MA 01901
Phone (781) 268-2200

280 Washington St
Salem, MA 01970
Phone (978) 740-6923

275 W Broadway
South Boston, MA 02127
Phone (617) 268-9670

Organizations & group practices 3

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1407005242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 UNION ST",
            "address_2": "3RD FLOOR",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011348",
            "telephone_number": "781-268-2200",
            "fax_number": "781-268-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 UNION ST",
            "address_2": "3RD FLOOR",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011348",
            "telephone_number": "781-268-2200",
            "fax_number": "781-268-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MEARA",
        "first_name": "LAURA",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.