Active NPI
Kelly Dearing, LICSW
- Clinical Social Worker
- Belmont, MA
National Provider Identifier
1477026318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 26 Trapelo Rd
Belmont, MA 02478-4457 - Phone
- (781) 357-7584
- NPI assigned
- Jan 3, 2019
- 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 | Primary |
Addresses
Primary practice location
26 Trapelo Rd
Belmont, MA 02478-4457
Mailing address
65 Westminster Ave
Arlington, MA 02474-2732
Phone (781) 325-6878
Other practice location 1
451 Central Ave
Milton, MA 02186-3210
Phone (617) 696-4568 ext. 3608
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": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1477026318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WESTMINSTER AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024742732",
"telephone_number": "781-325-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 TRAPELO RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784457",
"telephone_number": "781-357-7584"
}
],
"practiceLocations": [
{
"address_1": "451 Central Ave",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "MA",
"postal_code": "021863210",
"country_code": "US",
"telephone_number": "617-696-4568 x3608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEARING",
"first_name": "KELLY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.