Active NPI
Elizabeth Payne, LICSW
- Clinical Social Worker
- Plainville, MA
National Provider Identifier
1659604460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116742
- Practice address
- 5 Haynes Rd
Plainville, MA 02762-1709 - Phone
- (617) 899-2797
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 979868 | MA | |
| Clinical Social Worker | 1041C0700X | 116742 | MA | Primary |
Addresses
Primary practice location
5 Haynes Rd
Plainville, MA 02762-1709
Mailing address
5 Haynes Rd
Plainville, MA 02762-1709
Phone (617) 899-2797
Other names 1
- Elizabet Tooher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116742 | MA | MD | Clinical Social Worker |
| 979868 | MA | MD | Clinical Social Worker |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689379200000",
"number": "1659604460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HAYNES RD",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027621709",
"telephone_number": "617-899-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HAYNES RD",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027621709",
"telephone_number": "617-899-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ELIZABETH",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2023-07-15",
"certification_date": "2023-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "979868",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "116742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABET",
"last_name": "TOOHER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plainville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.