Individual provider Active NPI

Mary Nash Dana, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1700924206
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213967 Issued in MA
Practice address
795 Middle St
Fall River, MA 02721-1733
Phone
(508) 674-5600
Fax
(508) 235-5009
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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 213967 MA Primary

Addresses

Primary practice location

795 Middle St
Fall River, MA 02721-1733

Mailing address

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090217000101 MA Practitioner - Clinical Social Worker 0345305892 Reassigns benefits to 1 organization
I20231111000639 RI Practitioner - Clinical Social Worker 0345305892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

2444 E Main Rd
Southcoast Physicians Group Inc
Portsmouth, RI 02871-4025
Phone (401) 683-4817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213967MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Oct 29, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 29, 2022 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

2444 E Main Rd
Portsmouth, RI 02871
Phone (401) 683-4817

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1700924206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-674-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-674-5600",
            "fax_number": "508-235-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANA",
        "first_name": "MARY",
        "middle_name": "NASH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.