Richard P Flaherty, LICSW

Individual provider Active NPI Clinical Social Worker · Salisbury, MA

NPI 1710048699 · NPPES record last updated Mar 6, 2017

Key facts

NPI
1710048699
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
101706 (MA)
Practice address
30 Ferry Rd
Salisbury, MA 01952-2605
Phone
(978) 465-9139
Fax
(978) 462-4941
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

99 High Rd
Newbury, MA 01951-1727
Phone (978) 465-9139

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050810000321 MA Practitioner - Clinical Social Worker 4587693551 Practice locations: Newbury, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
101706MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Salisbury Psychological Associates Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101706 MA Yes

Addresses

Primary practice location

30 Ferry Rd
Salisbury, MA 01952-2605

Mailing address

30 Ferry Rd
Salisbury, MA 01952-2605
Phone (978) 465-9139

Other identifiers

IdentifierTypeStateIssuer
714827OtherMATUFTS

Other providers in Salisbury, MA

All providers in Salisbury, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.