Kerry Pugh Alexander, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110966LICSW Issued in MA

Practice address

518 Great Rd
Boundaries
Acton, MA 01720-3415

Phone

(978) 263-4878

Fax

(978) 635-0386

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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.

• Professional Counseling Services Inc

  • Neurology Physician
  • Acton, MA
  • NPI 1477617306
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

• Ms. Kerry Campbell Pugh Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497807465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 AYER RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511214",
            "telephone_number": "978-456-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 GREAT RD",
            "address_2": "BOUNDARIES",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203415",
            "telephone_number": "978-263-4878",
            "fax_number": "978-635-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KERRY",
        "middle_name": "PUGH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110966LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "PUGH",
            "middle_name": "CAMPBELL",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Acton-Boxborough Regional
• Cynthia J Adamski, LICSW
• Adult & Pediatric Dermatology, P.C.
• Daniela Aguilar, PT, DPT
• Owen Akeley, MSW
• Alternative Care Providers
• Heidi Factor Anderson, LICSW
• Angel Care Vna, LLC
• Apderm North, PC
• Ardire Counseling Services, LLC

• All providers in Acton, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.