Active NPI
Anna Pollard, LICSW
- Social Worker
- Newton, MA
National Provider Identifier
1639157548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111773
- Practice address
- 10 Langley Rd Ste 300
Newton, MA 02459 - Phone
- (617) 928-0200
- Fax
- (508) 481-8683
- NPI assigned
- Jan 3, 2006
- Last updated
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111773 | MA | Primary |
Addresses
Primary practice location
10 Langley Rd Ste 300
Newton, MA 02459
Mailing address
10 Langley Rd Ste 300
Newton, MA 02459-1972
Phone (617) 928-0200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042472266 | Other | ONE HEALTH PLAN | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 817639000 | Other | MEGELLAN BEHAVIORAL HEALT | |
| P23768 | Other | MEDICARE B | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 92595 | Other | FALLON COMMUNITY HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111773 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1639157548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LANGLEY RD STE 300",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591972",
"telephone_number": "617-928-0200",
"fax_number": "508-481-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LANGLEY RD STE 300",
"city": "NEWTON",
"state": "MA",
"postal_code": "02459",
"telephone_number": "617-928-0200",
"fax_number": "508-481-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "ANNA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "111773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEGELLAN BEHAVIORAL HEALT",
"identifier": "817639000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "P23768",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "92595",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.