Individual provider Active NPI

Alison Bethany Perry

  • Clinical Social Worker
  • Milford, MA
National Provider Identifier
1497072003
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
409 Fortune Blvd
Milford, MA 01757-1741
Phone
(508) 389-3138
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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 Primary

Addresses

Primary practice location

409 Fortune Blvd
Milford, MA 01757-1741

Mailing address

409 Fortune Blvd
Milford, MA 01757-1741

Other practice location 1

301 Broadway
Chelsea, MA 02150-2807
Phone (508) 493-9084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107000420 MA Practitioner - Clinical Social Worker 6608200217 Reassigns benefits to 1 organization
Practice locations: Millbury, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Counseling Collective LLC Clinical Current Accepting new patients
Correctional Psychiatric Services Current Accepting new patients
Milford-Franklin Counseling Services, Inc. Clinical PastSince Jan 19, 2020 Accepting new patients
Milford Franklin Counseling Services Inc Clinical PastSince Jan 19, 2020 Accepting new patients

Locations

22 West St
Ste 20
Millbury, MA 01527
Phone (413) 834-2154

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1497072003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571741",
            "telephone_number": "508-389-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Broadway",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MA",
            "postal_code": "021502807",
            "country_code": "US",
            "telephone_number": "508-493-9084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ALISON",
        "middle_name": "BETHANY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.