NPIMap

Organization Active NPI

Karen Peabody, Licsw

  • Clinical Social Worker
  • East Bridgewater, MA
National Provider Identifier
1487043501
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1041C0700X Issued in MA
Legal business name
KAREN PEABODY, LICSW
Practice address
36 N Bedford St
SC22
East Bridgewater, MA 02333-1186
Phone
(774) 222-3196
Fax
(774) 221-9196
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mrs. Karen Peabody, LICSW
Title
Owner
Phone
(774) 222-3196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1041C0700X MA Primary

Addresses

Primary practice location

36 N Bedford St
SC22
East Bridgewater, MA 02333-1186

Mailing address

36 N Bedford St
SC22
East Bridgewater, MA 02333-1186
Phone (774) 222-3196

National Provider Directory

National Provider Directory

Locations

36 N Bedford St
#22
East Bridgewater, MA 02333
Phone (774) 222-3196

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1487043501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST",
            "address_2": "SC22",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "774-222-3196",
            "fax_number": "774-221-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST",
            "address_2": "SC22",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "774-222-3196",
            "fax_number": "774-221-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN PEABODY, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "PEABODY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-222-3196",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.