Individual provider Active NPI

Carole Ann Dinneen, L.I.C.S.W.

  • Clinical Social Worker
  • North Easton, MA
National Provider Identifier
1639109341
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100647 Issued in MA
Practice address
115 Main St Ste 2D
North Easton, MA 02356-1469
Phone
(508) 238-7766
Fax
(508) 230-5089
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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 100647 MA Primary

Addresses

Primary practice location

115 Main St Ste 2D
North Easton, MA 02356-1469

Mailing address

115 Main St Ste 2D
North Easton, MA 02356-1469
Phone (508) 238-7766

Other identifiers 2

IdentifierTypeStateIssuer
706264OtherMATUFTS HEALTH PLAN
P01871OtherMABC BS OF MASSACHUSETTS

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Southeastern Massachusetts, LLC Clinical PastSince Feb 1, 2012 Accepting new patients
Child and Family Psychological Services, PLLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1639109341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST STE 2D",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561469",
            "telephone_number": "508-238-7766",
            "fax_number": "508-230-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST STE 2D",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561469",
            "telephone_number": "508-238-7766",
            "fax_number": "508-230-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNEEN",
        "first_name": "CAROLE",
        "middle_name": "ANN",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "706264",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MASSACHUSETTS",
            "identifier": "P01871",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.