Active NPI
Nicole Warner, LICSW
- Social Worker
- Beverly, MA
National Provider Identifier
1700597309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 125875
- Practice address
- 12 Lovett St Apt 2
Beverly, MA 01915-5122 - Phone
- (401) 450-1426
- NPI assigned
- Dec 6, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 125875 | MA | Primary |
Addresses
Primary practice location
12 Lovett St Apt 2
Beverly, MA 01915-5122
Mailing address
12 Lovett St Apt 2
Beverly, MA 01915-5122
Phone (401) 450-1426
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 |
|---|---|---|---|
| 125875 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1700597309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LOVETT ST APT 2",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155122",
"telephone_number": "401-450-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LOVETT ST APT 2",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155122",
"telephone_number": "401-450-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "NICOLE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "125875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.