Active NPI
Roberta Decker Kigner, LICSW
- Clinical Social Worker
- Westborough, MA
National Provider Identifier
1457456360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104986
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.