Active NPI
Nancy S Brophy, LICSW
- Clinical Social Worker
- Salem, MA
National Provider Identifier
1679645766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110190
- Practice address
- 81 Highland Avenue
North Shore Medical Center Psychiatric Triage
Salem, MA 01970 - Phone
- (978) 354-4550
- Fax
- (978) 743-9021
- NPI assigned
- Nov 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110190 | MA | Primary |
Addresses
Primary practice location
81 Highland Avenue
North Shore Medical Center Psychiatric Triage
Salem, MA 01970
Mailing address
81 Highland Avenue
North Shore Medical Center Psychiatric Triage
Salem, MA 01970
Phone (978) 354-4550
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 |
|---|---|---|---|
| 110190 | MA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679645766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVENUE",
"address_2": "NORTH SHORE MEDICAL CENTER PSYCHIATRIC TRIAGE",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-354-4550",
"fax_number": "978-743-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVENUE",
"address_2": "NORTH SHORE MEDICAL CENTER PSYCHIATRIC TRIAGE",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-354-4550",
"fax_number": "978-743-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROPHY",
"first_name": "NANCY",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.