Individual provider Active NPI

Mary C. Tarvin, LICSW

  • Clinical Social Worker
  • Norwood, MA
National Provider Identifier
1689128183
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114647 Issued in MA
Practice address
1 Walpole St
Suite 1
Norwood, MA 02062-3315
Phone
(781) 414-2247
Fax
(781) 352-3996
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114647 MA Primary

Addresses

Primary practice location

1 Walpole St
Suite 1
Norwood, MA 02062-3315

Mailing address

5 Byrne Rd
Milton, MA 02186-1703
Phone (617) 696-4791

Other names 1

  • Ms. Mary C. Dunn Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170510000958 MA Practitioner - Clinical Social Worker 2365710654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Walpole St
Suite 5
Norwood, MA 02062-3315
Phone (339) 237-2134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary C. Tarvin, MSW, Licsw, P.C. Clinical CurrentSince Apr 4, 2017 Accepting new patients
Rhonda R. Pais Licsw, Inc. Clinical Past Accepting new patients

Locations

1 Walpole St
Ste 5
Norwood, MA 02062
Phone (339) 237-2134

1 Walpole St
Ste 1
Norwood, MA 02062
Phone (617) 792-7637

Organizations & group practices 2

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": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1689128183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BYRNE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861703",
            "telephone_number": "617-696-4791",
            "fax_number": "617-507-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALPOLE ST",
            "address_2": "SUITE 1",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623315",
            "telephone_number": "781-414-2247",
            "fax_number": "781-352-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVIN",
        "first_name": "MARY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DUNN",
            "middle_name": "C.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.