Organization Active NPI

Carrie Lam Prendergast - Licsw

  • Social Worker
  • Cohasset, MA
National Provider Identifier
1477228393
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CARRIE LAM PRENDERGAST - LICSW
Practice address
132 Chief Justice Cushing Hwy Ste 70
Cohasset, MA 02025-1259
Phone
(781) 738-2996
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carrie Lam Prendergast, LICSWNPI 1437513231
Title
President
Phone
(781) 738-2996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

132 Chief Justice Cushing Hwy Ste 70
Cohasset, MA 02025-1259

Mailing address

132 Chief Justice Cushing Hwy Ste 70
Cohasset, MA 02025-1259
Phone (781) 738-2996

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1477228393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CHIEF JUSTICE CUSHING HWY STE 70",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251259",
            "telephone_number": "781-738-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CHIEF JUSTICE CUSHING HWY STE 70",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251259",
            "telephone_number": "781-738-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE LAM PRENDERGAST - LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "LAM PRENDERGAST",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-738-2996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "132 Chief Justice Cushing Hwy Ste 70",
            "city": "Cohasset",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020251259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.