Individual provider Active NPI

Clarese D Kirshen, MSW, LICSW

  • Clinical Social Worker
  • Boxford, MA
National Provider Identifier
1619229192
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9 Moon Penny Drive
Boxford, MA 01921
Phone
(781) 664-8346
NPI assigned
Oct 9, 2012
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 MA Primary

Addresses

Primary practice location

9 Moon Penny Drive
Boxford, MA 01921

Mailing address

73 Turnpike St # 1146
North Andover, MA 01845-5045
Phone (781) 664-8346

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
I20250603001692 MA Practitioner - Clinical Social Worker 1456860394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 Turnpike St
Suite 1146
North Andover, MA 01845-5045
Phone (617) 500-9824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CDK Counseling, LLC CurrentSince Feb 27, 2024 Accepting new patients

Locations

73 Turnpike St
North Andover, MA 01845
Phone (617) 500-9824

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1619229192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 TURNPIKE ST # 1146",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455045",
            "telephone_number": "781-664-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOON PENNY DRIVE",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "01921",
            "telephone_number": "781-664-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHEN",
        "first_name": "CLARESE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2024-03-04",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boxford, MA

Sources for this page

Verify at the official NPI Registry.