Active NPI
Patricia L Fair, LICSW
- Clinical Social Worker
- Norwell, MA
National Provider Identifier
1497801948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 020700
- Practice address
- 200 Cordwainer Dr
Ste 202
Norwell, MA 02061-1671 - Phone
- (781) 383-0860
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 020700 | MA | Primary |
Addresses
Primary practice location
200 Cordwainer Dr
Ste 202
Norwell, MA 02061-1671
Mailing address
PO Box 91
Scituate, MA 02060
Phone (781) 710-5837
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051110000386 | MA | Practitioner - Clinical Social Worker | 5698793305 | Practice locations: Norwell, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
133 Washington St
Norwell, MA 02061-1755
Phone (781) 710-5837
PO Box
Suite 91
North Scituate, MA 02060-0091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020700 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643500800000",
"number": "1497801948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91",
"city": "SCITUATE",
"state": "MA",
"postal_code": "02060",
"telephone_number": "781-710-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CORDWAINER DR",
"address_2": "STE 202",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611671",
"telephone_number": "781-383-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "PATRICIA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2022-01-30",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "020700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.