Individual provider Active NPI

Pamela L Sinotte, LICSW

  • Social Worker
  • Canton, MA
National Provider Identifier
1407880636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110270 Issued in MA
Practice address
345 Neponset St
Canton, MA 02021
Phone
(781) 828-1222
Fax
(781) 828-5454
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Social Worker 104100000X 110270 MA Primary

Addresses

Primary practice location

345 Neponset St
Canton, MA 02021

Mailing address

345 Neponset St
Canton, MA 02021
Phone (781) 828-1222

Other identifiers 2

IdentifierTypeStateIssuer
350549OtherMATUFTS HMO
P08335OtherMABCBS HMO PPO FEDERAL

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
110270MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Derr, PSYD, PC Past Accepting new patients
Renz Counseling, LLC PastSince Oct 17, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407880636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 NEPONSET ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "781-828-1222",
            "fax_number": "781-828-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 NEPONSET ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "781-828-1222",
            "fax_number": "781-828-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINOTTE",
        "first_name": "PAMELA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "110270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO",
            "identifier": "350549",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO PPO FEDERAL",
            "identifier": "P08335",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, 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.