Individual provider Active NPI

Dennis Allen McGuire, LICSW

  • Clinical Social Worker
  • Canton, MA
National Provider Identifier
1720145212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101275 Issued in MA
Practice address
275 Turnpike St
Suite 105
Canton, MA 02021-2357
Phone
(781) 828-6633
Fax
(781) 821-1743
NPI assigned
Jan 3, 2007
Sex
Male
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 101275 MA Primary

Addresses

Primary practice location

275 Turnpike St
Suite 105
Canton, MA 02021-2357

Mailing address

23 Van Brunt Ave
Dedham, MA 02026-3013
Phone (781) 828-6633

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
I20040318001286 MA Practitioner - Clinical Social Worker 6901796226 Practice locations: Canton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

275 Turnpike St
Suite 105
Canton, MA 02021-2353
Phone (781) 828-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101275MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720145212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 VAN BRUNT AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020263013",
            "telephone_number": "781-828-6633",
            "fax_number": "781-821-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 TURNPIKE ST",
            "address_2": "SUITE 105",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212357",
            "telephone_number": "781-828-6633",
            "fax_number": "781-821-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "DENNIS",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.