Active NPI
Kristin M Sousa
- Clinical Social Worker
- Norton, MA
National Provider Identifier
1710285887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 220297
- Practice address
- 108 W Main St
Norton, MA 02766-1248 - Phone
- (508) 285-8184
- Fax
- (508) 285-6573
- NPI assigned
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 220297 | MA | Primary |
Addresses
Primary practice location
108 W Main St
Norton, MA 02766-1248
Mailing address
108 W Main St
Norton, MA 02766-1248
Phone (508) 285-8184
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220297 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vendetti Wellness Group, PC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Framingham, MA
- NPI 1952836546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1710285887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 W MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027661248",
"telephone_number": "508-285-8184",
"fax_number": "508-285-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027661248",
"telephone_number": "508-285-8184",
"fax_number": "508-285-6573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "KRISTIN",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "220297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.