Individual provider Active NPI

Christina Marie Fox-Sencaj, LICSW

  • Clinical Social Worker
  • Stoughton, MA
National Provider Identifier
1508148784
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110220 Issued in MA
Practice address
450 Pearl St
Ste 3
Stoughton, MA 02072-1610
Phone
(781) 344-0057
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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 110220 MA Primary

Addresses

Primary practice location

450 Pearl St
Ste 3
Stoughton, MA 02072-1610

Mailing address

450 Pearl St
Ste 3
Stoughton, MA 02072-1610
Phone (781) 344-0057

Other identifiers 1

IdentifierTypeStateIssuer
110097974AOtherMAMASSHEALTH

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
I20111025000813 MA Practitioner - Clinical Social Worker 3274706916 Reassigns benefits to 1 organization
Practice locations: Stoughton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Abelard Psychotherapy IncGroup PAC ID 4385059104, 16 clinicians

Practice addresses (Care Compare)

1032 Turnpike St
Suite 301
Canton, MA 02021-2864
Phone (781) 344-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abelard Psychotherapy Inc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

1032 Turnpike St
Ste 301
Canton, MA 02021
Phone (781) 344-0057

30 Eastbrook Rd
Ste 103
Dedham, MA 02026
Phone (781) 344-0057

450 Pearl St
Ste 3
Stoughton, MA 02072
Phone (781) 344-0057

Organizations & group practices 1

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1508148784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PEARL ST",
            "address_2": "STE 3",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721610",
            "telephone_number": "781-344-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PEARL ST",
            "address_2": "STE 3",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721610",
            "telephone_number": "781-344-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX-SENCAJ",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "110097974A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.