Individual provider Active NPI

Linda J Dunphy, LICSW, LADC I

  • Clinical Social Worker
  • Taunton, MA
National Provider Identifier
1508876038
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000123415 Issued in MA
Practice address
152 Dean St
Taunton, MA 02780-2766
Phone
(408) 443-1443
NPI assigned
Aug 8, 2006
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 887 MA
Clinical Social Worker 1041C0700X 000123415 MA Primary

Addresses

Primary practice location

152 Dean St
Taunton, MA 02780-2766

Mailing address

140 Mohawk Rd
Raynham, MA 02767-5263
Phone (508) 857-9613

Other practice location 1

36 N Bedford St
# C22
East Bridgewater, MA 02333-1186
Phone (508) 857-9613

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
I20200302000263 MA Practitioner - Clinical Social Worker 2365879400 Practice locations: East Bridgewater, MA; Taunton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

152 Dean St
Taunton, MA 02780-2766
Phone (508) 443-1443

36 N Bedford St
East Bridgewater, MA 02333-1186
Phone (508) 443-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
887MAMDAddiction (Substance Use Disorder) Counselor
000123415MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linda J. Dunphy, MSW, Ladc I Clinical CurrentSince Jan 7, 2020 Accepting new patients

Locations

152 Dean St
Taunton, MA 02780
Phone (508) 824-3872

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1508876038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MOHAWK RD",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675263",
            "telephone_number": "508-857-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DEAN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802766",
            "telephone_number": "408-443-1443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 N BEDFORD ST",
            "address_2": "# C22",
            "address_purpose": "LOCATION",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "country_code": "US",
            "telephone_number": "508-857-9613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNPHY",
        "first_name": "LINDA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LICSW, LADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "887",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.