Individual provider Active NPI

Patricia Ellen Rice, LICSW

  • Clinical Social Worker
  • Newton Centre, MA
National Provider Identifier
1710046917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111247 Issued in MA
Practice address
53 Langley Rd
Suite 220
Newton Centre, MA 02459-1913
Phone
(617) 244-0196
Fax
(617) 244-0196
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 111247 MA Primary

Addresses

Primary practice location

53 Langley Rd
Suite 220
Newton Centre, MA 02459-1913

Mailing address

950 Commonwealth Ave
Newton Centre, MA 02459-1039
Phone (617) 244-9478

Other identifiers 3

IdentifierTypeStateIssuer
1859455MedicaidMA
221287OtherMACOM PSYCH
P08160OtherMABCBSMA

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
I20050112000513 MA Practitioner - Clinical Social Worker 9032167416 Practice locations: Newton, MA; Plymouth, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111247MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710046917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COMMONWEALTH AVE",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591039",
            "telephone_number": "617-244-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "address_2": "SUITE 220",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "617-244-0196",
            "fax_number": "617-244-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "PATRICIA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859455",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH",
            "identifier": "221287",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "P08160",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

Verify at the official NPI Registry.