James Fay, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

216170 Issued in MA

Practice address

165 Quincy St
Brockton, MA 02302-2988

Phone

(508) 897-2182

NPI assigned

Jan 12, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Commonwealth of MassachusettsGroup PAC ID 8820906860, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Commonwealth of Massachusetts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1326155458

  MA

  Medicare reassignment Care Compare group NPD
• The Commonwealth of Massachusetts

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  Care Compare group NPD
• The Commonwealth of Massachusetts

  • Clinical Medical Laboratory
  • Boston, MA
  • NPI 1053463448
  Care Compare group
• The Commonwealth of Massachusetts

  • Clinical Medical Laboratory
  • Jamaica Plain, MA
  • NPI 1093856965
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1194803288
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1275680456
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1285759464
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Worcester, MA
  • NPI 1306903042
  Care Compare group
• The Commonwealth of Massachusetts

  • Public Health or Welfare Agency
  • Chelsea, MA
  • NPI 1477643658
  Care Compare group
• The Commonwealth of Massachusetts

  • Public Health or Welfare Agency
  • Boston, MA
  • NPI 1528656675
  Care Compare group
• The Commonwealth of Massachusetts

  • Long Term Care Hospital
  • Jamaica Plain, MA
  • NPI 1568532273
  Care Compare group
• The Commonwealth of Massachusetts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1568587913
  Care Compare group

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1720524804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022988",
            "telephone_number": "508-897-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022988",
            "telephone_number": "508-897-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "216170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brockton, MA
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.