Active NPI
Liberia Phelan
- School Social Worker
- Fall River, MA
National Provider Identifier
1447732763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 1135 N Main St
Fall River, MA 02720-2725 - Phone
- (508) 675-8340
- Fax
- (508) 675-8414
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | MA | ||
| School Social Worker | 1041S0200X | MA | Primary |
Addresses
Primary practice location
1135 N Main St
Fall River, MA 02720-2725
Mailing address
1621 Old Williams St
Dighton, MA 02715-1317
Phone (508) 646-8093
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1447732763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 OLD WILLIAMS ST",
"city": "DIGHTON",
"state": "MA",
"postal_code": "027151317",
"telephone_number": "508-646-8093",
"fax_number": "508-675-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N MAIN ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202725",
"telephone_number": "508-675-8340",
"fax_number": "508-675-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "LIBERIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.