Active NPI
Amber Wicelinski
- Clinical Social Worker
- Foxboro, MA
National Provider Identifier
1437500865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121220
- Practice address
- 34 School St Ste 104
Foxboro, MA 02035-2318 - Phone
- (781) 355-6534
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121220 | MA | Primary |
Addresses
Primary practice location
34 School St Ste 104
Foxboro, MA 02035-2318
Mailing address
PO Box 749
Hawleyville, CT 06440-0749
Other practice location 1
607 Pleasant St
Attleboro, MA 02703-2570
Phone (203) 560-4098
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1437500865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "HAWLEYVILLE",
"state": "CT",
"postal_code": "064400749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SCHOOL ST STE 104",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020352318",
"telephone_number": "781-355-6534"
}
],
"practiceLocations": [
{
"address_1": "607 Pleasant St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027032570",
"country_code": "US",
"telephone_number": "203-560-4098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WICELINSKI",
"first_name": "AMBER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foxboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.