Individual provider Active NPI

Barbara N Kirwood, LICSW

  • Clinical Social Worker
  • Harvard, MA
National Provider Identifier
1730295452
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1029065 Issued in MA
Practice address
233 Ayer Rd
Shaker Place, Suite 2
Harvard, MA 01451-1131
Phone
(978) 772-2670
NPI assigned
Aug 23, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 1029065 MA Primary

Addresses

Primary practice location

233 Ayer Rd
Shaker Place, Suite 2
Harvard, MA 01451-1131

Mailing address

12 Willow Rd
Harvard, MA 01451-1608

Other identifiers 3

IdentifierTypeStateIssuer
P07343OtherMABLUECROSS
102906OtherMATUFTS
1852485MedicaidMA

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

LicenseStateTypeSpecialty
1029065MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730295452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WILLOW RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 AYER RD",
            "address_2": "SHAKER PLACE, SUITE 2",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511131",
            "telephone_number": "978-772-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRWOOD",
        "first_name": "BARBARA",
        "middle_name": "N",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "P07343",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "102906",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1852485",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.