Active NPI
Marie Souza, MSW
- Social Worker
- North Easton, MA
National Provider Identifier
1639495401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 217472
- Practice address
- 31 Roche Brothers Way
North Easton, MA 02356-1032 - Phone
- (508) 894-8730
- Fax
- (508) 894-8732
- NPI assigned
- Apr 19, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M4970 | OR | |
| Social Worker | 104100000X | A4970 | OR | |
| Social Worker | 104100000X | 217472 | MA | Primary |
Addresses
Primary practice location
31 Roche Brothers Way
North Easton, MA 02356-1032
Mailing address
680 Centre St
Brockton, MA 02302-3395
Phone (508) 941-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500643886 | Medicaid | OR |
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 |
|---|---|---|---|
| 217472 | MA | MD | Social Worker |
| A4970 | OR | MD | Social Worker |
| M4970 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639495401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023395",
"telephone_number": "508-941-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 ROCHE BROTHERS WAY",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561032",
"telephone_number": "508-894-8730",
"fax_number": "508-894-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "MARIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "M4970",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A4970",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "217472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500643886",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Easton, MA
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- Kandis Alexis Smith, DMD, MA
- Rebecca C Smith, D.P.T
- South Shore Dermatology Physicians, P.C.
- South Shore Eye Associates PC
- Paula Kathleen Spadea, MA
- Amy Spognardi, M.S.,CCC-SLP
- Shannon Patricia Stone, OTR/L
- Stephanie Nicole Striglio, PA-C
- Ashley Sullivan, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.