Individual provider Active NPI

Joan Hatem-Roy, LICSW

  • Clinical Social Worker
  • Lawrence, MA
National Provider Identifier
1447611199
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1017968 Issued in MA
Practice address
280 Merrimack Street
Suite 400
Lawrence, MA 01830
Phone
(978) 946-1361
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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 1017968 MA Primary

Addresses

Primary practice location

280 Merrimack Street
Suite 400
Lawrence, MA 01830

Mailing address

280 Merrimack Street
Elder Services of the Merrimack Valley
Lawrence, MA 01830
Phone (978) 946-1361

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
1017968MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1447611199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK STREET",
            "address_2": "ELDER SERVICES OF THE MERRIMACK VALLEY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-946-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK STREET",
            "address_2": "SUITE 400",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-946-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATEM-ROY",
        "first_name": "JOAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.