Individual provider Active NPI

William Halpin, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1588743884
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113793 Issued in MA
Practice address
142 Berkeley St
Boston, MA 02116-5100
Phone
(617) 927-6299
Fax
(617) 262-0872
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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 113793 MA Primary

Addresses

Primary practice location

142 Berkeley St
Boston, MA 02116-5100

Mailing address

142 Berkeley St
Boston, MA 02116-5100
Phone (617) 927-6299

Other identifiers 1

IdentifierTypeStateIssuer
1303546MedicaidMA

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
I20061202000090 MA Practitioner - Clinical Social Worker 6709885692 Practice locations: Sturbridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

48 Main St
Suite G2
Sturbridge, MA 01566-1284
Phone (617) 971-8650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113793MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fenway Community Health Center, Inc PastSince May 1, 2022 Accepting new patients

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1588743884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BERKELEY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165100",
            "telephone_number": "617-927-6299",
            "fax_number": "617-262-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BERKELEY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165100",
            "telephone_number": "617-927-6299",
            "fax_number": "617-262-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPIN",
        "first_name": "WILLIAM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.