Individual provider Active NPI

Frederick James McOsker, SOCIAL WORKER, LICSW

  • Social Worker
  • Lowell, MA
National Provider Identifier
1518554849
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105912 Issued in MA
Practice address
155 Merrimack St
Lowell, MA 01852-1723
Phone
(978) 674-4327
Fax
(978) 674-4327
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105912 MA Primary

Addresses

Primary practice location

155 Merrimack St
Lowell, MA 01852-1723

Mailing address

9 Bartemus TRL Apt 301
Nashua, NH 03063-7610
Phone (603) 595-1665

Other identifiers 1

IdentifierTypeStateIssuer
105912OtherMASOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105912MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1518554849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BARTEMUS TRL APT 301",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030637610",
            "telephone_number": "603-595-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521723",
            "telephone_number": "978-674-4327",
            "fax_number": "978-674-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOSKER",
        "first_name": "FREDERICK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "SOCIAL WORKER, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "105912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "105912",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.