Individual provider Active NPI

Elizabeth Ann Spaulding, LICSW MA 113010

  • Clinical Social Worker
  • Marshfield, MA
National Provider Identifier
1568525327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113011 Issued in MA
Practice address
650 Ferry Street
Marshfield, MA 02050
Phone
(781) 837-6281
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 113011 MA Primary

Addresses

Primary practice location

650 Ferry Street
Marshfield, MA 02050

Mailing address

650 Ferry Street
Marshfield, MA 02050
Phone (781) 837-6281

Other names 1

  • Elizabeth Ann Leary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113011MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norwell Visiting Nurse Association Inc CurrentSince Sep 23, 2019 Accepting new patients
Valera Medical, P.C. Clinical CurrentSince May 1, 2024 Accepting new patients
Faspsych, LLC CurrentSince Oct 7, 2021 Accepting new patients
Norwell Visiting Nurse Association, Inc Past Accepting new patients

Locations

8687 E Via de Ventura
Ste 310
Scottsdale, AZ 85258
Phone (480) 269-9248

300 Brickstone Sq
Andover, MA 01810
Phone (617) 275-9847

225 Cedar Hill St
Ste 200
Marlborough, MA 01752
Phone (617) 863-9090

120 Longwater Dr
Norwell, MA 02061
Phone (781) 659-2342

120 Longwater Dr
Ste 200
Norwell, MA 02061
Phone (781) 659-2342

Organizations & group practices 4

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568525327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FERRY STREET",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "02050",
            "telephone_number": "781-837-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FERRY STREET",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "02050",
            "telephone_number": "781-837-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LICSW  MA 113010",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LEARY",
            "middle_name": "ANN",
            "credential": "LICSW MA 113010",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshfield, MA

Sources for this page

Verify at the official NPI Registry.