Individual provider Active NPI

Maryjo B Haggerty, LICSW DIPLOMATE

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1649260282
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW101178 Issued in MA
Practice address
77 E Merrimack St
Suite 23
Lowell, MA 01852-1251
Phone
(978) 452-3711
Fax
(978) 441-9351
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SW101178 MA
Clinical Social Worker 1041C0700X SW101178 MA Primary

Addresses

Primary practice location

77 E Merrimack St
Suite 23
Lowell, MA 01852-1251

Mailing address

5 Partridge LN
Lincoln, MA 01773-1803
Phone (781) 289-8606

Other identifiers 2

IdentifierTypeStateIssuer
009132OtherMAHARV PILGRIM
240093OtherMBC

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

LicenseStateTypeSpecialty
SW101178MAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649260282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARTRIDGE LN",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017731803",
            "telephone_number": "781-289-8606",
            "fax_number": "978-441-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MERRIMACK ST",
            "address_2": "SUITE 23",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521251",
            "telephone_number": "978-452-3711",
            "fax_number": "978-441-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "MARYJO",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LICSW DIPLOMATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "SW101178",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "SW101178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARV PILGRIM",
            "identifier": "009132",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBC",
            "identifier": "240093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.