Active NPI
Patrick J Maher
- Social Worker
- Peabody, MA
National Provider Identifier
1669064259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 223416
- Practice address
- 39 Country Club Rd
Peabody, MA 01960-2735 - Phone
- (781) 405-7247
- NPI assigned
- Feb 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 223416 | MA | Primary |
Addresses
Primary practice location
39 Country Club Rd
Peabody, MA 01960-2735
Mailing address
39 Country Club Rd
Peabody, MA 01960-2735
Phone (781) 405-7247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | 0 |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223416 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1669064259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 COUNTRY CLUB RD",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602735",
"telephone_number": "781-405-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 COUNTRY CLUB RD",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602735",
"telephone_number": "781-405-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "PATRICK",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "223416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.