Individual provider Active NPI

Roberta Decker Kigner, LICSW

  • Clinical Social Worker
  • Westborough, MA
National Provider Identifier
1457456360
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104986 Issued in MA
Practice address
45 Lyman St Ste 19
Westborough, MA 01581-2658
Phone
(508) 330-4196
Fax
(508) 366-7270
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 104986 MA Primary

Addresses

Primary practice location

45 Lyman St Ste 19
Westborough, MA 01581-2658

Mailing address

43 Old Colony Drive
Westborough, MA 01581
Phone (508) 836-3943

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL 5083307270 Other
CONNECT URL 5083307270 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1457456360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 OLD COLONY DRIVE",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-836-3943",
            "fax_number": "508-872-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LYMAN ST STE 19",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812658",
            "telephone_number": "508-330-4196",
            "fax_number": "508-366-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER KIGNER",
        "first_name": "ROBERTA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5083307270",
            "affiliation": "N",
            "endpointDescription": "exchange of health information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health care",
            "address_1": "45 Lyman St Ste 19",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015812658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5083307270",
            "affiliation": "N",
            "endpointDescription": "secure fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "45 Lyman St Ste 19",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015812658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.