Active NPI
Maryjo B Haggerty, LICSW DIPLOMATE
- Clinical Social Worker
- Lowell, MA
National Provider Identifier
1649260282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW101178
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009132 | Other | MA | HARV PILGRIM |
| 240093 | Other | MBC |
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 |
|---|---|---|---|
| SW101178 | MA | MD | Psychologist |
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.