Individual provider Active NPI

Rui Alberto Soares

  • Clinical Social Worker
  • Taunton, MA
National Provider Identifier
1720306376
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1 Taunton GRN
Ste 7
Taunton, MA 02780-3225
Phone
(508) 369-5230
Fax
(508) 821-5932
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 Primary

Addresses

Primary practice location

1 Taunton GRN
Ste 7
Taunton, MA 02780-3225

Mailing address

585 Turnpike St
Apt 24
South Easton, MA 02375-1752
Phone (508) 369-5230

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
I20140127001331 MA Practitioner - Clinical Social Worker 9537398367 Practice locations: Taunton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Taunton GRN
Suite 7
Taunton, MA 02780-3225
Phone (508) 369-5230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1720306376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 TURNPIKE ST",
            "address_2": "APT 24",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751752",
            "telephone_number": "508-369-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAUNTON GRN",
            "address_2": "STE 7",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803225",
            "telephone_number": "508-369-5230",
            "fax_number": "508-821-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "RUI",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.